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Permit w ,� CITY OF TIGARD MASTER PERMIT I N 1 COMMUNITY DEVELOPMENT Permit #: MST2011 -00108 T1GARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued: 07/15/2011 Parcel: 2S 109AB 17900 Jurisdiction: TIGARD Site address: 13227 SW HOODVISTA LN Subdivision: HIGHLAND HILLS Lot: 8 Project: Highland Hills, Lot 8 Project Description: New SF 9/15/2011 REPRINT permit for revisions to include continuous loop sprinkler system BUILDING Floor Areas Required Setbacks Required Stories 2 Bedrooms' 5 First 1328 sf Basement 0 sf Left 5 Parking Spaces 0 Height 31 Bathrooms 3 Second 1826 sf Garage 606 sf Front 20 Smoke Dwelling Units 1 Third 0 sf Right 5 Detectors Yes Total 3154 sf Value $350,921 96 Rear 15 PLUMBING Sinks 1 Water Closets 3 Washing Mach. 1 Laundry Trays. 0 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 Drywell- Trench Drain 0 Other Fixtures 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 Fdrs 0 Ea addl 500 sf 6 201 -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 AD 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 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) 12703 SW 67TH AVE PO BOX 1689 1 Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 381 -3753 PHONE 503 - 381 -3753 FAX 503 - 214 -8524 Total Fees: $19,218.83 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 throu• OAR 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332. 3, 44 Issued By: Permittee Signature: _ Call 503.639.4175 by 7:00 a.m. for the next available inspectio ri' 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. This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard Building Division TIG_ ARD TRANSMITTAL LETTER TO: A/ DATE RE iii : pp!: ED DEPT: BUILDING DIVISION AUG 16 2011 CITY OF TIGARD FROM: A\( S142N �v MAJ BUILDING DIVISION COMPANY: PHONE: (Jo) g� /`" g�S-� By RE: e 3 � vo Lone I�1 /'�S'do 1(-� I !( dress) ` ' ermtt um er ( 61cq -wry ( +1(,c ( roject name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. I Revisions: TA& T ' pI' ( Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): _ REMARKS: CAW 5 loop SyiI7 . FOR OFFI E USE ONLY Routed to Permit echnician: Date: 7(6 i ( Initials• - Fees Due: es ❑ No Fee Description: Amount Due: .t 1 $ (( i. co 1 $ `?7/ f-- $ 1 � j� $ l6 ,P( Special Instructions: Reprint Permit (per PE): es ❑ No Done /// Applicant Notified: �SL, teak Date: i / , Initials: '/ 1• \Building\ Forms \TransmittalLetter - Revisions doc 02/08/2011 II CITY OF TIGARD MASTER PERMIT iiii • COMMUNITY DEVELOPMENT Permit #: MST2011 -00108 T1 ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011 Parcel: 2S109AB17900 Jurisdiction: TIGARD Site address: 13227 SW HOODVISTA LN Subdivision: HIGHLAND HILLS Lot: 8 Project: Highland Hills, Lot 8 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1328 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 31 Bathrooms: 3 Second: 1826 sf Garage: 606 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3154 sf Value: $350,921.96 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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' 500 sf: 6 201 -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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3154 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) 12703 SW 67TH AVE PO BOX 1689 1 Ersn Cntrl 503 - 681 -4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 381 -3753 PHONE: 503- 381 -3753 FAX: 503- 214 -8524 Total Fees: $19,028.88 • 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 s h in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You � maay obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 r_1..80 "23- -- Issued By: ' 4�C �� / mil/ -- Permittee Signature: . '--- Call 503.639.4175 by 7:00 a.m. for the next available inspeat 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 0 ,,,, Residential ' FOR OFFICE USE ONLY City O■s Received i Permit No.: H5 Of Tigard `�. � DateB : �� i % erm H5 i / ,„006 13125 SW Hall Blvd., Tigard, OR 9 �` . n Review 17r Other Permit: 1 � , � ' p ^,. Phone: 503.718.2439 Fax: 503.598.19 `\� G �S DatDate/By: ly. kaevi �j T l GA RD Inspection Line: 503.639.4175 , �� ` Date Ready I y: Juris: ® See Page 2 for Internet: www.tigard- or.gov . � � Notified /Metho jfJ Supplemental Information Ct�3`� * ut►. , P .., 11 1 �i, t `' ' 1 :. ' Tl PE OF WORK � ` ' ` , vs = ' "REQUIRED DATA I: AN FAMILY:;DWELLING ® 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 ' 5 ' -; i ` L ;; , ::'''Y,': f work indicated on this application. •�� �; CA�I'EGORti'� 'O>i! CONSTRUCTION Valuation: ( t . ®1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building CI Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: 3 . JOB SITE INFORMATIOI AND LOCATION ' Total number of floors: 2 Job site address: 13227 SW HOODVISTA LANE New dwelling area: 3154 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 606 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: & square feet 1 E2k Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: . 2.4C„) square feet 1 ,32 i Other structure area: 7 square feet "3 t • 'REQUIRED DATA COMMERCIAL- USE Subdivision: HIGHLAND HILLS Lot no.: 8 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF" WORK - _ work indicated on this application. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY ,O °h xK , xT 0 T a Number of stories: Name: MISSOIN HOMES NW Type of construction: • Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: •'- / Z APPLICANT. l,,, ® ',CON, TACT'PERAON :5,rh BUILDING PERMITFEES *e' �: • Y ":' Business name: MISSION HOMES NW (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 • City /State /ZIP: LAKE OSWEGO /OR/97035 Total fees due upon application: e Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Amount received: �S� ›.) E -mail JOSHKELSO3 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*, - - _ Commercial and residential prescriptive installa �'Qn of CONTRA roof -top mounted PhotoVoltaic Solar Panel :tem. Business name: MISSION HOMES NW Submit two (2) sets . roof plan • onnection details and fire department a c- ::, • ong with the 2010 Oregon Address: PO BOX 1689 Solar Installatio ..e.'alty Code checklist. City /State /ZIP: LAKE OSWEGO /OR/97035 Permit • ee (inclu.-s plan review $180.00 d adminis tive fees): Phone: (503) 381 -3753 Fax: (503) 214 - 8524 State surcharge ' , of pe ' fee): $21.60 CCB lie.: 186849 Total fee due upon application: $201.60 Authorized signature: ' This permit application expires if a permit is not obtained ----• : within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: 3/17/2011 * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB) 03/17/2011 13:12 5034636883 CONNECTIONS ELECTRIC #2190 P.002/002 • ,,, • 1I, LV I IV r L III,I . „V. I ITV I L , Ell ectrica l Perim Appl j � !'Olt 01 1:: till ON1,), City of Tigard r .- 'A` PcM1p NO.: )- 1 :, O r • 04 q 13125 SW !flap Olvd., Tigard, C1R 9 t p, • � an - - Phone: 503./18,2439 Fart 343.59 ,41` V N an , _ Other Pennie Sw,t? i� A 1 I t . A u I Inspection Limo' 503 639.1175 q• . � • . Internet: www,tigord -m,gov , Q 11,.. TYPE OF VORK ‹ti .. . .. : :... �. • • ...< :• :. t 'i► W . : •. •.. ,;, . . • � 1 ew coast Motion CI Addilion/alteration/rep Please check all (bat appty(sodmic lien of plans %%teas chocked below): © Demollilon p��: or (cedar 400 amps or mom G Building ow hroestorins. where no Pvaibbis Malt eurmat d Mali= sad t+oatyW& ' 4 . ' -4p.0 0 *N ' y > 4 , � , . exceeds 10,000 amps M ISO dolts or CI Floating �. ti g buil4 1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building p h a„u t b g e N t ' ID Multl- family 0 Master builder 0 Other: OPi rapuruP- CI insuuatlonof7 KVAor JOE S1T� • 11VBORatAiii)N AND LOCATION Other: .. _ . —'— 0 tyres'- iar eapr datved t "an' m. n madman anew asotor Iowa q' ems, a , -. °� . Job no.: f Job site address: 1 .3 22 st'U EcOOdod of ��e Ds�a mesidenliot un CJ Rae sebicta PPM. City/State/ZIP: Tr�.arI , 0/L 9' - 2 2 Li Of.ealrh-care tunics, rJ s lyvotoao for more than Cl iriessnisud lutatlons, MO volts nominal. Suitelbldg./apt,no.: J Project name: � - ai,f' 0 Service or feeder 600 amps ormoor. • • ItBE •.S i)LE' • Cross street/direcgau to job Mtn: ( g 3 144--Pitt/r" (fz {-12 i t .. 1.1 - ■wzrmomCm= New rsstdentint Angle or n dtl- famtty dwelling unit. Includes attached garage. _ • Subdivision: W6( - ((4 40 KY L-1-3- Lot no.: 6 1A30en. it or less T I 148.54 «`.: 1 4 ►x map /par ca! no.: - _ Ea. alai 500 sq, ft or portion t 2 33.92 0 /7.— Lln1} only, residential i 2540 - — 2 DTSCR1pTIQN OF VNAA(tr . • . - wilt above •, . I. Limited energy, mull 75.00 2 NEW SINGLE FAMILY residential (wads above Willi Services or feeders inserrliation *Ilan ion, and/or relocation 200 ate or less 100.70 L . t,2 ® PROPERTY OWNER 0 TENANT ' 201 imps 10 400 amps 133.56 2 Name: MISSION HOMES NW 401 earns to 600 amps 20034 2 _.,r 601 amps In 1,000 AMPS 101.04 2 Address: AO BOX 1689 Over 1.000 amps ur vas 552.26 2 City/State/ZIP: Y/A1M 1SWEQp/0J;197035 I Q�par n or (rulers iaatiltallan, alteration, and/or Phone: (503)3814753 me (503)2148524 200 a or loss 59.96 1 Owner instnllationt This installation is being made on property Mat C own which is not 201 a mlp, t 5 9 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 441 mpn tos99 amps 168.54 2 � Ilraneb eireults— new,. Alailllotr, or extension, er panel Owner signature: Date: A, Fee for branch 61610 0: ar1:h .. lgl APri.ICAN? Q CONTACT P>:.11SON• - abavo service or reader tzar. 7.42 2 each branch circuit Business name: MISSION HOMES NW ' ao amoeba - is wit ,, MI S 2 _ aer rice or feeder lee, lion Contact name: JOSH KEI.SO b • , •h circuit Each RIM branch circuit 111111® 2 Address: PO BOX 1689 1►Ylageliepeoualse vice or feeder no included) -- ' City/State/ZIP: LAKE OSWEGO/OR/97035 ei asans wall�, service mod ikt eder 67.84 2 4rvioe r Phone: (503) 34414753 . ... I Pax:: (503} 214 -8524 Re of (Asa 2 E..mall : JOSI•II ELSl 1,G111A.I +,COA1 p er irri atiom oirok _ 67.54 2 Signor outline lighting 67.84 2 CON ACTOR , Signal circuit (s)orlimited*eoergy Business name: CONNECTIONS E1.EC 1t1C .t, attention, or extetni(a pogo 2 2 _ Erma - - h additional _Intpretina ever allowable in any or the above Address• 4675 PORTLAND 1W NE {) -7116, Maitland • • • - aria hr min) 66.25/ hr lareeligpGan (I hr mils) 111111111=11 � . Ci1 /Siate/Zlr: SALEM /OR/97305 '5g. 09---41,56 . Industrial pis% (I nrmin) 1111 T • Phone: (513) 390-7914 Fax: (5La) Y43- _ .. 3 'nspoct au • ''fm. no is III 90,00/hr MI a . deall lured s6hrmin CCE Lic.: 65444 - Supty. Lic.: X115 ELE CTRICAL 1?EaMLT' PEES Suprv. Electrician si laturo, required: Subtotal: t 7. 06, Su P $t 1 p Print name _ Oa Stele surcharge (12%�%ofpormit foe): 5 "5 a.C�'w� r �, / .,,.- TOTAL PERMIT FEE: j O C. Authorized signature:' `v - ". b parmtf eppticativn expir s tie portoil is eel obtained within SOO • Print name: J y it / ./(yo ( Date: • Number of tdrpc after pt {one a has been p its comptola mpe allowed per pmrtG • t $uUdfag5Permil,tExe -ra rah$.doe 07/01 /10 40-4 arrait031t:0'VW iP • • • Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard and Received � / permit No �tJ� ,�L � /� 1 . q - 13125 SW Hall Blvd., Tigard, OR 97223 . - - Phone: 503.718.2439 Fax: 503.598.1960 Other Permit 4aQ//_p T I GARD Inspection Line: 503.639.4175 c %hate Ready /By: lulls: 0 See Page 2 for Internet: www.tigard- or.gov �F -= C1, C •ti Notified /Method: Supplemental Information 6 � y C' . 4 la C , TYPE OF WORK a M111 COE C[AL FEG* SCHEDULE USE.CFIEChL[STy ,, • Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration /replace a � performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: �`� mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION"' �' RESIDENTIAL EQUIPMENT! SYSTEMS FEES* ® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JO$ SITE ,INFORIVIAT AND `LOCA s _ Heating /cooling: ; �:fi Air • conditioning Job site address: 13227 SW HOODVISTA LANE (requires site plan showing placement) 1 46.75 A'Lo City /State /ZIP: TiGARD /OR/97224 Furnace 100,000 BTU (ducts /vents) 1 46.75 4C 5 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH 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 Subdivision: HIGHLAND HILLS Lot no.: 8 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: . DE SCRIPTION` WORK Water heater I 23.32 2-- NEW SINGLE FAMILY Gas fireplace I 33.39 ? Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) • 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 i E , . ,. r Chimney /liner /flue /vent 23.32 I--,ti PROPERTY OWNRER ,. ®"TENA,NT -. , ,, Other: 23.32 Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood/other kitchen equipment 1 33.39 . .." City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 . ?.. 7 " Single -duct exhaust (bathrooms, Phone: (503)381 -3753 Fax: (503)214 -8524 toilet compartments, utility rooms) 5— 23.32 / (4j. i ' _ ® : _ t ' , 4=o ., ; , ❑;.CONTACT PERSON,,, ' Attic /crawlspace fans 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. I ii. l"' Gas heat pump City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater 1 Fireplace 1 E -mail: JOSHKELS03 @GMAIL.COM Range 1 '' ' " I , CONTRACTOR -,. Barbecue 1 4.0 Business name: RITE -WAY HEATING & AIR Clothes dryer (gas) Other: Address: 33505 SW TUALATIN VALLEY HWY $ ' = MECHANICAL,PERMITFEES* " ''" City /State /ZIP: HILLSBORO /OR/97123 Subtotal 1, 77 Minimum permit fee ($90.00) Phone: (503) 693 -3161 Fax: ( ) Plan review (25% of permit fee) CCB lie.: 71242 State surcharge (12% of permit fee) Z.21 TOTAL PERMIT FEES , 7" --I - --��!/ J This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: JOSH KELSO Date: * Fee methodology set by Tri- County Building Industry Service Board I:\Building \Permits \MEC- PermitApp.doc 09/09/10 440 -4617T (11 /02 /COM/WEB) Pliumhing Permit Application Building Fixtures FOR OFFICE USE ONLY • Receive d City of Tigard �� e 4,5 Permit No � / / 6 . v 131 SW Hall Blvd., Tigard, OR • «3 c � 5 DateBy p �f / / /j � �J l � " � �� � � y�� i Plan Review ���{OIfJ��' w�-Y Phone: 503.718.2439 Fax: 50 : 960 ry 4� �` Date/By: Other Permit No. Inspection Line: 503.639.4175 \ �` Date Read /B Juris: ® See Pa e 2 for TIGARD Internet: www.ti and -or. ov y y g g g Q V Notified/Me • Supplemental Information TYPE OF"WORK ` ' ... - FEE* SCHEDULE •, a4, , ® New construction ❑ Demo For special information use checklist Description Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ".. ,'' i ds , ; F-.-; T O , ? a' r SFR 1 bath 312.70 C4TEGORY O �GON5TRLCTIO1S : � . " . 3 _ ( ) ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 Gt�,,''� ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (3154 sq. ft.) Page 2 " - JOB'SITEr, INFORMATION .ANDILOCATION , " Site utilities: Job site address: 13227 SW HOODVISTA LANE Catch basin or area drain 18.76 City /State /ZIP: TIGARD /OR/97224 Drywell, leach line, or trench drain 1 8.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: 1 Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH Manholes 18.76 . Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: HIGHLAND HILLS I Lot no.: 8 Fixture or item: Tax map /parcel no.: Backflow preventer 3 I.27 Backwater valve „ - , _ DESCRITTION OF WORK. _ _. s, _ ss _ - -__ ', �... " . Clothes washer 1 25.02 NEW SINGLE FAMILY Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER .. . ❑TENANT ,, Expansion tank 12.51 Name: MISSION HOMES NW Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal 1 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 -3753 Fax: (503)214 -8524 Ice maker 1 12.51 ® APPLICANT " , :C❑ CONTACT PERSON • Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: JOSH KELSO Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin /lavatory 7 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E -mail: JOSHKELSO3 @GMAIL.COt1 Urinal 25.02 �, ,. ,, , .. ,� . ;; . :. - Water closet 3 25.02 :. - , ' ° : - CONTRAC . " :, Water heater 1 37.52 Business name: S & B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal ..7- Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 CCB Lie.: 168129 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) ,ark Authorized signature: I - TOTAL PERMIT FEE5I, c '3 Print name: JOSH KELSO Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. I:\Building \Permits \PLMU- PermitApp.doc 10/01/09 440- 4616T(t0 /02 /COM/WEB) .' '' Building Division Development Code Provision Review T[GARD Residential Projects Building Permit No: H _( ^OO fog CWS Service Provider Letter Received: Yes ❑ No yr N/A ❑ Routed Plans: Original Plan Submittal Date: 1st Revision Submittal Date: ❑ 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 (cont ��actt,n, 5 at 503- 718 -�` �( or @tigard- or.gov) Land Use Case N �'t4 N � � r 1L Name O-3 Er Zoning 2''7 IT Setbacks: Front I' Rear Side < Street Side ( v Garage ET Maximum Building Height .5j Actual Building Height 3 I 0r Visual Clearance V Easements /0 ( (tie" - -C(1114-1 EKSensitive Lands Type: 1% t 1O\ Notes: Original Plan: Approved Not Approved ❑ Date: 4130( 1 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) Afi Actual Slope: tyo Notes: Original Plan: Approvect,-Er Not Approved ❑ Date: - /C/ ( Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 . 4 City irrborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) / street Trees C�9 // Protected Trees Notes: Original Plan: Approved L/ Not Approved ❑ Date: u ' 3 0 - .20 VI Revision 1: Approved ❑ Not Approved ❑ Date: 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 Okay to Issue Permit: Yes CO o ❑ Date Routed to Building: /7, _ , .// Page 2 of 2 et/ « ed s I4 __, A-c i 50.00' i -- - - I c55 LOT 8 ., -. -,' dz.v. eiti,i• i f 1 4,888 SF. RECEIVED „. m. �mmm , • KN.-N.1011 I / % j % j � CITY OF TIGARD � i I j j /,..: R 1 / M I BUILDING DIVISION / MAIN FLOOR 13255Q, FT / / S i l f — j/ TOTAL - 31545Q. FT / , f � �sARAGE - 6065Q, FT ... % � � ��� /I -s<<f /�/ % �% l• feisita j /�� RAGE j j 1 /// / j /// Lj ! C=D I n . '' e ' ' D e — \\: I I w ,iliT k DRIVEWAY ' • �e1r,1 W 5 14 g 3 • - -- 5 51DEWA S4-41.--- 0 /01,4 iY�� CURB �V. S .W. H LANE SETBACKS: GARAGE = 20' BUILDING =15' PORCH = 12' SIDE YARD = 5' STREET SIDE YARD = 10' O: STREET TREE C Sitep fa n A` SCALE : 1"=20° PLAN NAME: CON I AC I: Phone-503-381-3753 SILVERWOOD F 03 21 n DRAWN: BKE ✓Li /G nit PLOT: 6 /2/Il CI LOT 8 mission Homes NW , LLC. bGALk: 1/4",-1'-0” Oregon Residential Specialty Code 8318.2 • MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Rr � l , am the general contractor or the owner - builder • at the following address: Site Address: I 1.00 ANA S �. lh City: Permit #: nA SA-- t CX)10 q Subdivision/Lot #: f ah 1 1 -1 l` \ `1 S and /or Map and Tax Lot #: q/ t - 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: I� f Date: Genera Contractor or Owner - Builder I:\ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 • 1 • Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ' _ ST tt _, Ck 16 5 Jurisdiction: Site Address: ` t 11 ), - - 1 oadv;s 10. In. 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: W Date: Owne /General Cont actor /Authorized Agent • Print Name: A Cl J J 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. I: \Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 1111 41 STREET TREE TIGARD E TIFI A TI C R C ON I, A J' D6.1100., , owner /agent for M ∎ 3 ; o A 1 s , (PLEASE P) (PERMIT HOLDER) do hereby certify that the following location meets City of Tigard land use and development standards car street tree installation and is consistent With the approved site plan. PERMIT NO.: tAS T )4) - oa \06 SITE ADDRESS: t. a f,1 ( j . go, 1, is A 1 IN SUBDIVISION: \1„ A ‘.k t` s LOT #: SIGNATURE: / DATE: ( WNER /AGE RECEIVED & VERIFIED BY: DATE. (C • TIGARD) Tree location verified per approved site plan. I:\ Buildinbrms \StreetTreeCertificate 04/01/2011