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Permit CITY OF TIGARD MASTER PERMIT ` ` 7 : r� COMMUNITY DEVELOPMENT Permit #: MST2011 -00074 TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/15/2011 D Parcel: 2S108AB04400 Jurisdiction: Tigard Site address: 14076 SW 155TH TER Subdivision: BRENTWOOD ESTATES Lot: 6 Project: Brentwood Estates, Lot 6 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 2308 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26.5 Bathrooms: 5 Second: 1711 sf Garage: 713 sf Front: 20 Smoke Dwelling Units: 2 Third: 0 sf Right. 5 Detectors: Yes Total: 4019 sf Value: $437,385.88 Rear 15 PLUMBING Sinks: 1 Water Closets: 5 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines' 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 5 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: 7 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 7 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 8 201 -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 asin Y Other: N Other Description: Ecom p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 4019 Owner: Contractor: ALDER HOMES INC. ALDER HOMES INC Required Items and Reports (Conditions) P.O. BOX 2189 PO BOX 2189 1 Ersn Cntrl 503 - 681 - 4444 TIGARD, OR 97224 BEAVERTON, OR 97075 PHONE: 503- 705 -2454 PHONE: 503 - 705 -2454 FAX: 503 -579 -4666 Total Fees: $21,363.23 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 rul- ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr 952- 001 -0090. You ma .. - • - .. • t' t questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B . _. _ _� Permittee Signature: — ....._ - C: - . .. Y ` 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .. / I 1 i �� K� 4A.A./\_-5c_op.. to TONG 0 ify at ,, Building Permit Application 2 3 _ , Phone: 503 - 846 -3470, Fax: 503 - 846 -3993, Inspection Request: 503 - 846 - 3699 ,• M OT' 155 N. l AV, Suite 350, MS 12, Hillsboro, OR 97124 www.co.washington.or.us t (_ p co Land Use Approval: Project # Permit # : 1 ia^° „ '' e e 1i� TYPE' ` ° -- ' :REG1uuIRED`DATA 71 AND FAMILY DWELLING t» New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Addition/alteration / replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the : _ , '" vv ' work indicated on this application. : z- r am , ,; "CATEGORY O C k • p ,, ,m . 7 _ � Valuation?�'� �?�1 t � 1 -and 2- fam ily dwelling ❑ Com � rndu i 45 A • - - 1� ❑ Accessory building ❑ Multi - family ��\v�� Number. of bedrooms: _. i JOB S AND`LOCATIO N ' ^, Number of bathrooms: 5 Job site address: 1f� 6`,� SW 15.th TeY .(b. ��+ Total number of floors: 2 City/State /ZIP: .1'ZJ.�� 012, 9 722:5 New dwelling area: .[�® �� square f eet a -' Garage /carport area: 7I square feet Suite/bldg. /apt. no.: Project name: t Cross street/directions to job site: Covered porch area: square feet t7 Deck area: square feet Z.1 4-2- 'i • Other structure area: 475 .,square feet � „5 Plan No. (.. Reissue: Yes [ ] No JX] . REQUIRED °DATA COMMERCIAL USE CHECKLIST Subdivision: ^ L , L otno.: �� � ,o °x ( ?7 t S) (b i� �5'rr Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all \��4 ", ', &� ° . x' , . ' _ DE O FD WORK ' F s. equipment, materials, labor, overhead, and the profit for the ,, ! _ . ,s �" � : . _ .. 1 '.- .. .^ work indicated on this application. Valuation ` Existing building area: square feet R PROPERTY OWNER &1 0 `TENANT a New building area square feet Name: ALDE/2 14on4 ) it) C , Number of stories: Address: pz 0 , b x 2 /157 Type of construction: City/State /ZIP: 8 eetVer+ovv Of 2 . 9 7d 75 Occupancy groups: Phone: ( - ) t — Fax: (ye) ` Existing: 58,3 7 � 21 /� J° � 5 7 g � � g: . 1 t - K ° X ©© APPL I ICF C hi-, ° ,:,,,,V ® CONTACT PERSON . • New Business name: / 7DL / �- f C ) NC . NOTICE : i ; ' eE � ".. Contact name: T (�<<� sd14 A 1J ` `w - 1 All contractors and subcontractors are required to be �� �� 1 licensed with the Oregon Construction Contractors Board Address: 0 under ORS 701 and may be required to be licensed in the City/State /ZIP: /s 'e_4V ` , 04/ 'i q7e) *-7 jurisdiction in which work is being performed. If the �7 / applicant is exempt from licensing; -the following reasons Phone: ( 6 1 ) 7 5 -2.4/69 Fax: : (03 ) �/ 1 dE7t4. apply: E -mail: p .i y$ . e. V °CONTRACTOR s" 7,7,t5 - :A: . . ? ix Business name: 1 91 . 1w2. 146-44es 14) e___ , . „ BUILDING ;PERMIT FEES* - 1 Address: Please refer to fee schedule City/State /ZIP: Fees due upon application $ Phone: ( ) `q l l Fax: ( ) Amount received $ / 7 CCB lic.: ) (/ t' /i.1/ Date received: Engineer : / l Architect: Address: Address: This permit application expires if a permit is not obtained within 180 days after it has Phone:( ) Phone:( ) been accepted as complete. Email: Email: * Fee methodology set by Tri- County Building Authorized , - Industry Service Board signature: 1 - � S/ / a 1 / r9 440 -4613T (8 /06 /COM /WEB) Print name: '' a/ Date: • . 031:01,1996 09:36 503 - 678 -1108 BEAR ELECTRIC PAGE 02102 C<<y 1I1STaoii -06071 r .: Ns- Electrical Permi Carroll Planning e,, ' N. d" " Suite 350. MS 12. tiili,Slwrn.OR 9 ApprOvtd , 44 , lugla; 503446•c3474 Fax; 50344(09W, Project ti. .. . ;_ u , • i :: • ! 6 9 Aim ••,,. .1.. , , a . or.us .s• ' ewco...sttw:tina i Add itionkttcrlit ardrepft c nient 0 Other: I Pei e,dicek 01 thm " ,,. _ , 0 5errioe:arfeade antpas 0 !Worth= . ... .. a _ Ur more whew the $L9 (tt $et.aasar 600 atrrpetisrrwtr .. . . ',e Y -. + , rr' tJ C7lOiY Omit carom exam* 1 011 t7dingot r dueosteria;. II 1. true# 2 - family dwelling ■ ConuninxiaVinduatrial 0 Amity buildipg 10,04 =Oat 150 tgllilarCl maims arrabontymt% 1. ,Multi- family 0 Motor bdi1de t rather: ass to ground, OF atctadii 0 Floating buildings . • -' , . 406 'SITE IP1FFOR 1AATIDN. i l!1D • LOCATION ` .:.7'... :... '„ 14,00o t olS a for all other wa Ct nwerelat -tda 4 tip t ,f / a Renew buildings ' Job go.: Job address: ,40 It j 5 % 1 / e r © Ernegeney warm U trtuat addu ar IN KVAcc iamo • sepa atet> dabort symn City/Small': ' 1 t tr� / ©Addhian anent Mohr ., ,.. ....t•3 m,�y • load err 10011P or men: ' Suite/btdg/api. no.: i A . ♦ . I gat' mom tockh tenon 0 Rsutt; volt t vehicle s P� a'C, /t . [ 5ripply voltage for nurtc tknn Q llsr $t�vottsztominW Cross street'diraations to job siitc: ,.,,0®\ • •. • • .. . • • ',$Ckll3DUi E • A \ ' Desertptler L;tl Y4c • ►] it Lpt Ina.. r L� Ituddenitai.'thdl tt4lrtnittlik ,{'olttfil! #wetk ' =VIM �]r� 1�4D 2 ..:* lithttto'v'atiactieiltpit'ape. . . ..... ' Tex. lttapi�>m cel 110.4 , `l r. N i a i,1,0(r0 .-- 11- to . 0 les ' : • . E 4 ... x ". .' ' � •- add'13 : •, rt. to .:. Ion � ' , .. ..TJ66CR�PtA'tt}N' C1F 'wQ12MC; n� � Valli 3: �/ /� 1 �( q . (jam` Lie f ctt ancrg�, residlinr(at - y tee 4 maw 72._ ,L1 75Lin AP - %' ' Limited muggy. munttJrll lamtty 01.00 y • v reir4t11111(wilir rdt. ft, tit - 0. QWNBfi •• ; :., • .. O'1ENAN`s - ,.- ... ?Sitriekv;poiladirsbnaliatiiinitha6faii, '#Iitlifor7eldaiitE � IrCLI �/�� 2� nand cN t+ss f 2 MI , � / / I /' lOt IIi11j►FLA:t�,1y ... tLAO 2 Address^ / t . • ii3 t31� ( / • 401 a eta 600 3101:11 Mil 1$400 MINI 2 .^l ,--7 (x01 to 1.000 • , - MOO 2 CitYJStai1/Z1P: 6 - - '� 4 Are ' 6e / Over I. u. carobs 11111M M111111 2 Phone: ( D ) ,'7 ...-- - _ Frt.( p 1 i .. i`ocapoipey ' ikrwfaec- or'tbkitoas itti*aaIaa .$Mental;; :inainr. ntua�Sloe :, 1 Ow an testa ariont smalle1ian to betties* on residential or iorm pet*penro. rna n+s tom wombat of 200 mentos orlon IIII 7430 Oil 2 iv nooreeeno ice61y. Von parpet4v is not Wooded be ooln. exchange or r-m, IOkc 499S401 t >atxt 47'3•5600)• '2013 . • ' to 400 am , Item mil 2 °wmersiitentura; �.. p . - �,....._. — Date: 401 *two m.. i� it ,00 .. . , . ... ..: or. and:. . 1a . CO1dYACT; �SFtSt)hl` . B. • •tieiYkralit - •new'' ' - LJCi41da °• altcrs>;1o».• citte •' . r. aa ' A. par for t>sach citstihs with . Reeinces opine: w , , f a ..P 14 5 •' 4,1 6 ' ,,bo.rsxrv44. or feetlsr for, 117% i each ben essattit Concoct static: e . Fcs tisr'I e4i,ch ci x e� .•LLoat scr. i trt feiKiur 600 I Adherent: 1 & ' Z b0� I / r. o it 0(1 o ,' - sb 4 441 bmnab otrrvic + fos 1 t�itylStatnrZiP: 'i° .o "� Uv 7C0 Itvltinallaneoas ervlcenrfbtidiit': rit nchitle : - ?bona: ( D 0 , ° 1"ax: t ) - LA mmnat"aaiured or teettOlar toe AD 2 dw roS g crtricc a}tdloa 4°et ' M d C2ijllilliMMIICIIIIIIIIIIIIIIIIIIIIIIIIMIIIj-f.'-' Rct aasuaas 0* 7 v+ 1._,_,_,_1_2 ,. ;. .. ONTRA�'IQR ' • • ... , pieta x' ' anoChttic Gt od 2 +r' Sign or outline listtling a bl,ne 2 • Business nano: • , • 'G %• Sibmslt4'if4'nit(s) or: limited- ' ' iY ti • • I wow meet Arctution, Of 6r OD cmetasit.n• Ihsarabet 2 CltvtStater,LIP: ,'1 • r 11 e r ''''T - 0 • -�; _�' `G} j v 8no haddtditara Inspeatiaes 4+ $it►RaisititnIn• • rtic :a "• 44.' r Pho (SO) • ' • '...or Per tnspecilan 7o.Do C13 lie. 110.4 a (?G! 1 ttvcIIitalbdn rce t;iarorisnat> Elm • I [.1. 0-7 C ie or metro lit:.: q - Other 1 :1aiea tip. na. 1 : 614C14614; P ,FV Supervision; electrician ., 00,- 0,- S soma! �'�(:�r ] l . signature, t>:gwre d: a .•. — Plan review (25%,of pcnnit rc¢) I Pxidtcatasoa * Date: . 4. - .G► ` State setuhate.e(t2%Of [MtLll Authisethe:d TOTAL 4'ERMlT'FEE 50, -`"( si ; 1a3ture: This'pgirmit vpptiratiba smarm if a permit* not ob4alned within lab dart after it has boo acccpnee as complete • NORM , erofiespo,lians Awed settigtoOi• 133vis.4*"e • "� MECHANICAL PERMIT APPLICATION i�STd 0j1 O(�jZ� ! ii • a'. - . 1.; ^. is ■ - ' ' 19 SWN 4th Avenue, Portland O • on 87201 • 503423.7363 • FAX 503-8234018 • TTY 503 - 8234858 •www.portlandonline.com/bds TY p . 0 eft _wa +k : ; ,� , .,n.,,.; ! I„ , . . el . `. o u C4rniiicrrra�f F�e�; 5 w_ � � - c, Use Checichst 0 V New construction 01 Addition /alteration /replacement performed, , I n 4tcate the value based on the � eaesi d le of all U Demolition U Other: meGmnicalntatedats, n• tpmrnt, labor, overhead and profit Cat�nory aif constr�l Rcs'r lath -d Equi / Systems Fees Ii 1 & 2 family dwelling L.1 Commercial /industrial (.7 Accessary building ForspeclaiInformation use checkfl t © Multifami U Master builder Q Other: Description env. Part Tetat rt !Joy ceolril ipti arts /nfbrtnaton and. [ Air canditioncr site plan required) �i Job no.: Job address: t 6 a 5 r ' e r Furnace / bumer Including duct work I ty /stata2ip: vent /liner Gi �� L, ' t / je Heat pump (site plan required) Suite/bidgaapt no.: Project name: i L 4 a p e C. Air handling unit MEI $ 21 Gross street/directions to job site: Hydronic tot water system _ $ 26 an _ _, Residential boRem (radiator or hydroldc) 26 Includes piping p � - Unit heaters (fuel type, net aIect$c) $ 21 Subdivision: e/Lll 1 © 1 r* Lot no. 14. Tax map /part e1 o InauaB, irMtCt, swlrpended, etc Vent for appliance other than furnace $ I8 Description of Work (example: upstairs bath fah /dryer exhaust) - - Alteration of along H Ceyetem iiiscEmen. S 0 Gthrr furl appllonces /v en) CO � 1 X x " - ` • Y o Deco gas iireplace • a• �d - `{- 1`` Flue vent far water heater �tv C ` �` ` v \�\ rffM -- --�-.- ' YV000 t poser stove � � Ma (' \` `. ,A C? Gas or wood fireplace ante nZEIMINE 0 Reference RS I Combination Permit no. \\'''" Chin • / 9ner / flue /Vent MN $ 18 MIME 6!4 Property owner Tenant other '11 Environmental exti must and vcnttlntlon Neme: t Lip c f es r ) C' Range hood /otherldtdten equipment UM ( j1j '��� � Clothes . s Rill outauet t �i-i�i fftui� 1; ''`^ ! I — Sfngte duct etdvaust (bathrooms, toilet City/State/Z(1 , , a , i Ira compartments, utility rooms ' � � / � / Attic / crawl space fens — $11 Phone; �p - s ; FAX: C - o b r. — Other, Owner Installation: This installation le being made on property that I own, which Is not Intended for aide, lease, rent, . f 1 An or exchanges, I /4//) / 4 5 Awl 4.6,---zit j aUond. Please tndlddlta Owner signature: r Date : /7 bar ortuei pas piping outlets below Furnace, etc. 111111i1 4, / Contractor " S>tbcontractor Geshaatpump NMI _ +�: BusinesS SUN GLOW, INC. )lsuspended t milttreater Water heater Address; Heating & Air Conditioning Fkepfaaa 1 III CiryfStatalZ , 2428 SE 105th Ave. Portland, OR 97216 Range - ��� (503) 253-7789 FAX (503) 2553.7693 Ra ng eve Phone: - - - . Clogx. dryer Lie n4. CCB tic. no. 1 90 Other: f1 Ofhcr applianCas Authorized signature: - -� ` tnoluding oil tanks, gas and diesel Print name: � 0 0 gad and etecbic Wine, $ A t IM rt _o: er tk Date: ., gee s pasms /equipment not II xe III • Applicant a Contact Person Ytelude4 GLOW, Mechanical permit fees tall SUN siness U N INCI N a/► r. Subtotal I Contact Heating & Air Conditioning Mlntmum fee (555) Address 2428 SE 105th Ave. Portland, OR 97216 Coramerotalplan review (80 % of permt Foe) (503) 253.7789 FAX (503) 253 -7693 State surcharge (12% al pernal fee) _ ', I City/State/21F TOTAL PERMIT FE - , Q Phone: FAX • F an maatodatagy oat tai T -Count nuading autuatry servloa Awed — This permit application expires If a permit is net E -mail: obtained within 180 days after It has been accepted AS complete Credit Card ❑ Trust ❑ RS Perrnit/No fees Due ❑ Ina p_ratmttepp_rosenseleal Oaf25/O6 05/,29/2009 13:45 FAX 5038404483 THE MULLEN COMPANY i j001 /001 Ci v t ' / ei-, ' •• _ wnr P157 - 003 - 7 y Pl umbing Permit Application i :, Phone: 503.846 -3474, Fax: 503- 844 -3993, Inspection Request: 503 -846-3694 -,' 155 N. I" AV, Suite 350 -12, Millsboro, OR 97124 www.co.washington.or.us = . Land Use Approval: f� { Pr - # Permit # _ 1 " r�u E i N1 jt i + i",t,o I . , Y r li #:,Pi ill r tn,7 3,7,7 l tt �� � � � . ■ , 1 J i J �� j y I S� ;�f � � f . / t 1 � + ,I �115 &V�'`li�' q� "I +� fi t' m- `l> :44th ittin: ' It. Y '',i16u,,;Ois4f! �l I W!� itSYIf E n'� '::7� .._,/ _•.,i.... �t1..11' "1 e`r` C Now construction 0 Dora• ti. ' • � Per special irlformation we checklist . Deacri' Lion I . );a, Total ❑ Addiuon/alterauott/replatxmeat ❑ jr 1. Naw 1 -2 family dwellings (includes lob ft for each utility connection) n ailc r t n n r 1 r I. ;1 '1}1 r ' . �1 . t I � � { + �� i t t 1 ' ; :rt i A - � Uia.NlLll:!..4. S i:,;�,.�1 ti,��• I1,n, , .F .'n +t . f . +t 1 1 SFR (1) bath 329.00 in 1- and 2- fhmtly dwelling D Gomm situ k,r,01l\; � - SFR (2) WO 422.00 ❑ Accessory building 0 MUImf1g1't9\ A",`) ' SFR (3) bith - + ` fa ,` Z ❑ Master builder l] Other: �� \�" Each additional bath/kitchen i ' 26 , .1 7 'r• ... t, ,,, , R a Fire sprinkler(u_.,. -, sq ft) aysp , `i r .0 v14 F.lirmli u1AU,t Jhy c 1 1 ( 1 1 4 1{ S ite utilities Job site address [) ,filkiffIllW e K' Catch basin or area drain 15.00 City/State/ZIP: r t MN, Drywall, leach line, or trench drain 13.00 Spite/blit, /apt. no : f Project name, 4 A • ♦ ni Footin_ Drain (each l00'increment) 4440 Cross streei /directions to job site Manufactured home utilities 100,0 Manholes 15.00 Rain drain connector 15,00 , Sanitary sewer (each 100 ft ): # of ft. 44.00 Subdivision • [ 4: ♦i ! Lot no.: 4' Se tc Connection 31.00 'fax map/parcel no Storm sower (lamb 100 R.): P of R, 44.00 j'� TM i l� " �rl 1i i �I9t r �(tyy II�t�f � ' � 1,, t ° l " yi ! Waterao rvlma (each100 ft.):ii+ 44.00 • Ky ii[I4 .:ka now.,,:.. 1:;411 K I :i. l 1I1 Il i' e .1 ° 1 _ , Pixtare or Item ____ Absorption valve 15.00 Backflow pravantor 15. Backwater valve 15 00 y� , . Clothes washer 15.00 •ir` 1 ,; n5iri�i��diQitot { ' t t „� li� . Cireg]IlG."� .I , I' i ' .; Aishweehr 15.00 Drinking fountain 15.00 Name. /' n 1' T .c i, I e,, I.4) r Ejectors/sump t5.o0 Address; � L . p 47 . 21.8-9 � Expansion tank 13 00 City /Staic21 e c. L , I° ES ✓),i £ y 2 ' r ' t, Fixture/Sewer cap 15.00 Phone; 6, ) - - -. )/,-,.. Fax: (91 " Floor drain/floor sink/hub 15.00 Q PI ,r 1,1. s Ja . - � 1 ti-. r, ;1,, 4. rli'� Garbage disposal 15,00 ,, 1 ' " " „ l a ,�,t Hasa bib 15.00 Business nente: ( rI ni� d ingi /poi a '. Hydroponic piping system 15 00 Contact name: A Address, / 6 # 1 / . e r04; ` / /,m t,/i ,e.at Ice maker 15.00 ♦ 4stort ifihi r Interceptor/greasetrap _ 15.00 City/State/ZIP . e so i Medical gas (value: S ) sr vest Phone: ( y = , - Fax: ( ,,i. Primer (5) 15 00 e ' asidentlal Re -pipe: 3600 sq. less 90.00 tr!' Restdetutal Re- •t -e: 3601 aq.ft/more 13500 '+ � : 1 "' k Roof drain (Commercial) 1500 Business name: ' I d i� '� 1. Sin lc/basin/lavatory 1 5.00 Address. /6 D / 5 i - Q { TIM/shower/shower pan 15.00 - - City /State/ZIP' . _ • / / / r _ 2, Urinal 15.00 Water closet 15.00 R 1 3 x'.08 646 . 0S 5 Phone: (�p�) * t . F ax : ( ) B Water heater 15 00 CCB tic • ' Lie. no,. - - , ,. Other: Authorized sfgnarure: f I .1 1'� / � � Subtotal pth&IN Ti. r Minimum permit fee 560 OD Print name /r Date' • a plan review (65% of permit fbe) $ This permit a pollcat on - • if a • grail,. s not . bta ned within 1:1' ys after t has been State strrcharge (12% o ermtt foe) r accepted as complete. r, Fee methodology set by Trf- County Building Industry Service TOTAL PERMIT FEE S - # a Board, 440 -4616T (10/07 /COM/WE9) I B uilding Division Development Code Provision Review TIGARD Residential Projects Building Permit No: (1'15J /) C. 6 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A ❑ Routed Plans: Original Plan Submittal Date: S15/ / 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. i / n ' Planning Review (contact at 503 -718- 4-4 ? or d�`�Yltl @ tigard- or.gov) La Use Case No Name 1 L 0 I .*1� ,- _zonin i_ US ZOd� — C' OOZ— ❑ //,, font ) 5 Rear 1 S de 6 Street Side / (/ Garage, / ,,t) /Maximum Building Height 9 Actual Building Height 62 Y2, Visual Clearance IVEasements 1 P , . I 1 i YZef PRO 'FCC 7 Dl.) Gi' Lands Type: d'vAt; 5(6 41746 "- €--16 /4 { II Notes: Original Plan: Approved 121 Not Approved ❑ Date: T /SII I 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) Actual Slope: Lr. Notes: Original Plan: Approved VI Not Approved ❑ Date: 5/61( Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov) O Street Trees Protected Trees /l rr I Notes: (L. ` � , ro..4 i `W $ c�� kk ep te+ a�7e /IL AT:Ail. Original Plan: Approved IV Not Approved ❑ Date: Vy /a° if Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: l 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 : 1-1J P 2,0A/— DGMb h H -e 90✓01-C f L'De1 - � __. oaf ..tom 4 4 oodee GG p'5 24-90=7 -- 0O002- in -.t 44644 ne bps Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes o Date Routed to Building: J/ Page 2 of 2 MAY -- 5 20 / pap H5 Yo7! clw /55`'- TIG Ta4 / / -GYO 7 CITY of DIVISION . El) BUILDING 15' S 0 3 N GQ h- N 0 °04'53" W h �� - _ -- 97.88' -- -- -- r 1 I 8' I ----- u) P.U.E. 4-- . „ • ,. 1 1 W 1 5'-0" 1 Z — W ;� \ L 11 3 Q Ii A `,/ i, _ j I i i CC m 1 23' -0" L -/v MAIN FLOOR, i � 1 , LC) "' - -- ' EL = 537.0' % N g ; / / I T I o % \ CO 1 ._ . vGARAGE I • II / \ \ \� EL.�535.75'`� —. J.. I • \ 23 1 aP pft--,_aik 5;0„ g 0 -Nv - ^ / �A - DRIVEWAY I 3I.I `" • N � \ � V.C.E. ��\ o h \ S 0 ° 07'38" W h 8600' • S.W. 155TH TERRACE • 03/30/2011 MRR S C ALE 1 " = 2 0 " - 0 " ■■ ALAN MASCORD DESIGN ASSOCIATES, INC. IS NOT WASHINGTON COUNTY II' I' LIABLE FOR THE ACCURACY OF THE TOPOGRAPHY ' 1 '' � INFORMATION IT IS THE SOLE RESPONSIBILITY THE BRENTWOOD ESTATES I I i ' �■ BUILDER VERIFY ALL SITE CONDITIONS INCLUDING II'• I, d I ANY FILL LL PLACED ON THE SITE AND NOTIFY THE LOT 6 OWNERS OF ANY POTENTIAL HELD MODIFICATIONS C O L L E C T I O N • ALAN IMeo0RD DE ASSOCIATES. INC. BY: ALDER HOMES 1005 N9, 161E AVE PORTLAND OR 92209 12 126 50. FT) 00/225.9161 FAN 503/226.0933 ° / /www.maac9e69am Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, 40 , am the general contractor or the owner- builder at the following address: Site Address: / Sw 155t rei City: �'�'` Q o (2 , 'al 2-2.-:b Permit #: M S T2o 1 I — Qoc Tli Subdivision/Lot #: p Sgeiti r G✓0Oci- CS 771 re5 Lod 6 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: Nfit. liclorS Date: General Contractor or Owner - Builder 1: Building\Form\RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE TIGARD CERTIFICATION I, /2"wfiot/ � %2 , owner/ agent for �L�Dee. F/bvires /,vc • (PLEASE PRINT) (PERMIT HOLDER) do hereby certifi 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.: /�1.57"2i ii- ' 'i f HIE ADDRESS: /Jf l'b SUBDIVISION: g geNritiOo 0 557W LOT #: SIGNATURE: /26w5 /TRj?" DA"1 E: (OWNE •GENT) RE CEIVED & VERIFIED BY DALE: ? 2 7> - �� (CITY OF TIGARD) ❑ Tree location verified pe approve/ site plan. I:\ Building \Forms \StreetTreeCertificate 04/01/2011 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: Jurisdiction: M57 a c71f Site Address: ,1016 Sr.J 1557 r Subdivision/Lot #: 10 QCNTWoea � 5 gSIA� Loh b 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: At 41 I4orkt5 Date: Owner /General Contractor /Authorized Agent Print Name: g0 14.5#11A/ 4 .7 ,i9 , 27 - 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. 1:\Building\ Fortes \RES- HighEfficiencyLighting.doc 07/01/08 s ©14 a.%.. r . City of Tigard November 23, 2011 John Noffz, Jr. Brentwood Homes 15170 SW Finis Ln. Tigard, OR 97224 Re: Permit No. MST2011 -00074 Dear Mr. Noffz: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 14076 SW 155 Ter Project Name: Brentwood Estates, Lot 6 Job No.: N/A Refund: ® Check #204726 in the amount of $5,227.00. ❑ Credit card "return" receipt in the amount of $ Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account "deposit" receipt in the amount of $ Comments: Refund TDT fees paid by applicant to developer per agreement as fees to be paid by credit voucher for Brentwood Estates. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 1: \ Building \ Refunds \1 r gYi\ Hadialminsaigardvfaregon 97223 0 503.639.4171 TTY Relay: 503.684.2772 a www.tigard - or.gov CITY OF TIGARD RECEIPT n JZ 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD �/ /!/e-J Receipt Number: 184689 - 11/23/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 - 00074 TDT - Transportation Development Tax 4050000 - 43320 $5,227.00 Total: $5,227.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account 2011 -00001 DHOWSE 11/23/2011 $5,227.00 Payor: Brentwood Homes, Brentwood Estates - Lot 6 Total Payments: $5,227.00 • Balance Due: $0.00 • Accela System Administration Finance Department Request Date: /0 = To: Liz Lutz Kathy Gende From: Dianna Howse/ Re: Receipt #: lerys76, /Fy66e, /.61 Please process this request as follows: Journal Entry (route copy of JE to Dianna Howse). • Reversal (fees have been reversed on Revenue Account Report). • Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: 4Je f'.i}y Thank you! • I: \ Buildin \Forms \RteSlipFinanceReq.doc Page 1 of 1 • III CITY OF TIGARD RECEIPT • 2 . _ 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD • Receipt Number: 184688 - 11/23/2011 • CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 - 00074 7A7 / n S 0000 -- 5 3.3 .2Q $ - 5,227.00 Total: $- 5,227.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 204726 DHOWSE 11/23/2011 $- 5,227.00 Payor: John Noffz, Jr., Brentwood Homes Total Payments: $ - 5,227.00 Balance Due: $5,227.00 Page 1 of 1 • • CITY OF TIGARD RECEIPT � :{� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 a TIGARD 02 fe /A/f/ -L Receipt Number: 184576 - 11/15/2011 • CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID MST2011 -00074 Building Permit - New Construction 2300000 -43104 $2,361.50 MST2011 -00074 Plan Review 2300000 -43106 $1.34 MST2011 -00074 12% State Surcharge - Building 1003100 -24001 $283.38 MST2011 -00074 Plan Review 2300000 -43106 $783.64 MST2011 -00074 DC Provision Review, SF - Ping 1003100 -43112 $64.00 MST2011 -00074 DC Provision Review, SF - LRP 1003100 -43117 $9.00 MST2011 -00074 Info Process /Archiving - Lg Sheet (over 2300000 -43135 $26.00 11x17) MST2011 -00074 Info Process /Archiving - Sm Sheet (up to 2300000 -43135 $51.00 11x17) MST2011 -00074 Metro Const. Excise Tax - Residential 2300000 -24010 $524.86 Use MST2011 -00074 Tig -Tual School CET - Residential 2300000 -24102 . $4,219.95 MST2011 -00074 Park - Single Family Unit 4250000 -43300 $4,811.00 .--> MST2011 -00074 TDT - Transportation Development Tax 4050000 -43320 $5,227.00 r MST2011 -00074 Erosion Control . 1003100 -22002 $136.00 MST2011 -00074 Erosion Plan Review CWS 1003100 -22003 $44.20 MST2011 -00074 Erosion Plan Review COT 2300000 -43107 $44.20 MST2011 -00074 Water Quantity - Res 5110000 -43122 $275.00 MST2011 -00074 Permit Fee - Elect (per dwelling unit) 2200000 -43103 $439.90 MST2011 -00074 Limited Energy 2200000 -43103 $75.00 MST2011 -00074 12% State Surcharge - Electrical 1003100 -24001 $61.79 MST2011 -00074 Air Conditioning 2300000 -43102 $46.75 MST2011 -00074 Furnaces < 100K BTU 2300000 -43102 $46.75 MST2011 -00074 Water Heater 2300000 -43102 $23.32 MST2011 -00074 Gas Fireplace 2300000 -43102 $100.17 MST2011 -00074 Range Hood /Other Kitchen 2300000 -43102 $33.39 MST2011 -00074 Clothes Dryer Exhaust 2300000 -43102 $33.39 MST2011 -00074 Single Duct Exhaust (Bathrooms, Toilet, 2300000 -43102 $163.24 Utility Rooms) MST2011 -00074 Fuel Piping 2300000 -43102 $26.24 MST2011 -00074 12% State Surcharge - Mechanical 1003100 -24001 $56.79 MST2011 -00074 SFR - Baths 2300000 -43101 $550.36 MST2011 -00074 Each additional kitchen 2300000 -43101 $25.02 MST2011 -00074 12% State Surcharge - Plumbing 1003100 -24001 $69.05 Total: $20,613.23 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check •5927 BTAGGART 11/15/2011 $20,613.23 Payor: Alder Homes, Inc. Total Payments: $20,613.23 Balance Due: $0.00 Page 1 of 1 I 41 City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: John Noffz, Jr. DATE: 11 /22/2011 Brentwood Homes 15170 SW Finis Ln REQUESTED BY: Dianna Howse Tigard, OR 97224 TRANSACTION INFORMATION: Receipt #: 184576 Case #: MST2011 -00074 Date: 11/15/2011 Address /Parcel: 14076 SW 155th Ter Pay Method: Check Project Name: Brentwood Estates, Lot 6 EXPLANATION: Refund TDT fees paid by applicant to developer as TDT fees to be paid by credit voucher for Brentwood Estates. -,� _ra.y • i�ti }: •,fi :; _ e'i:. . "(-= 'tr. �..� - � � r - - �;Iee =Dscr .ttoii -From• Recei .r: =� r p •,•�: _ Reve No R..„ i',�4.t {7 ,r_.,;,,�.. ..,,,_ : .p, :;•, _.�,:. .:�;. ,. ° =i' • ,. � ; �Ex�rrtp ._ v �'uilc�g.Pexrtii Fe : _ ; .. ,. , . .... ,_ .. .. �` �l�aiiip le . , .. . ' $ Aiiiountr TDT - Transportation Development Tax 405 - 0000 -43320 $5,227.00 TOTAL REFUND: $5,227.00 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager f N If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board i FOR-TIDEIVINIWO STEM ADMIN�IS; O TiON, _ _ . USE. ON= I _ ':.�. Case Refund Processed: I Date: I //��3 1 By: ga 1:\ Building \ Refunds \RcfundRcqucst.doc x 09/01/2010 .JyC EWED e'rentwood e comes NOV ? tt� ' , �., no .0u,�: Jeainea CITY OF 'TIGARD BUILDING DIVISION 0\7/ .. Sun Ridge Builders Inc. Dba Brentwood Homes Octoober 7` 2011 • City Of Tigard Building Department 13125 SW Hall .Blvd Tigard Oregon 97223 To the City of Tigard: ---- if d er /497-)4S S•� 2 7 I am authorizing to use the Transportation Development Tax Credit Voucher for lot # in the amount of $6&5 Brentwood Estates. Please allow them to use the full credit at current rate for this voucher. This is • only to be used for this particular mentioned lot. Sincerely, / i John Noffz Jr President, Brentwood Homes 7'D / z 6// r/ /6 c 1 44F,5 11/c 15170 SW Finis Lane • Tigard, Oregon 97224 • Ph: 503- 624 -4663 • FAX: 503- 624 -9646 Website: www.brentwoodhomesoregon.com 0 CCB# 18115