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Permit
CITY OF TIGARD MASTER PERMIT 1111 s : COMMUNITY DEVELOPMENT Permit #: MST2010 -00142 T l GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2012 Parcel: 2S 110BC 10300 Jurisdiction: TIGARD Site address: 12047 SW CAFFALL LN Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 1 Project: Bull Mountain View Estates Lot 1 Project Description: New SF 8/2/2012: REPRINTED to add A/C. Unit must meet 5' minimum side yard and applicable rear BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 1866 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms: 2 Second: 0 sf Garage: 693 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1866 sf Value: $209,814.81 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 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: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: 4 201 -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 1866 Owner: Contractor: LENNAR NORTHWEST, INC. LENNAR NORTHWEST INC Required Items and Reports (Conditions) 2103 NE 129TH ST STE 100 25 ENTERPRISE 1 Ersn Cntrl 503- 681 -4444 VANCOUVER, WA 98686 ALISO VIEJO, CA 92656 PHONE: 360 - 258 -7900 PHONE: 360 -258 -7900 FAX: 360- 258 -7901 Total Fees: $16,306.36 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 issuan e, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio nter. Th a rules are set forth in OAR 952- 001 -0010 through OAR 952 81� 90. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . 1087 0 . .3 2. 44. Issued By: Permittee Signature: Call 503.639.4175 by 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. CITY OF TIGARD MASTER PERMIT ' 7! COMMUNITY DEVELOPMENT Permit #: MST201000142 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2012 Parcel: 2S110BC10300 Jurisdiction: TIGARD Site address: 12047 SW CAFFALL LN Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 1 Project: Bull Mountain View Estates Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First. 1866 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 17 Bathrooms. 2 Second: 0 sf Garage: 693 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 of Right: 5 Detectors: Yes Total: 1866 sf Value: $209,814.81 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 3 Dishwashers: 1 Floor Drains: 0 Sewer Lines' 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers 3 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: N Vent Fans: 4 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 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: 4 201 -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 1866 Owner: Contractor: LENNAR NORTHWEST, INC. LENNAR NORTHWEST INC Required Items and Reports (Conditions) 2103 NE 129TH ST STE 100 25 ENTERPRISE 1 Ersn Cntrl 503 - 681 - 4444 VANCOUVER, WA 98686 ALISO VIEJO, CA 92656 PHONE: 360 - 258 -7900 PHONE: 360 -258 -7900 FAX: 360- 258 -7901 Total Fees: $16,254.00 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. AT - I 10 •regon law requires you to follow the rules adopted by the Oregon Utility No " _atioq Center. Those rules are set forth in OAR 952 -00 0010 t ough OA' 952 -s • 00• I. You may obtain a copy of the rules or direct questions to OUNC b c- ' • 503,232.1987 or 1.800.332.2344. Issue• By:_ k /' ' l _ P _ermittee_Signa _ !� i'' Call 503.639.4175 by 7:00 a,m. for the next available inspect' • n 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. Building Permit Application Residential ® ' .'. _ E ONLY a V FOR OFFICE US E ew Permit No.: q 25 « o • `EO I 13125 SW Hall Blvd, Tigard, 23 1. f - Phone. 503.718.2439 Fax: 503.598.196�8 S. Q late /B : g • q 0 Other Permit: s 1 tl;_. y)a TIGARD' Inspection Line: 503.639.4175 �GOk �� ." 'rate Ready /By: J Juris 0 See Page 2 for �' • Internet: www.tigard- or.gov Ow 0 ,o Notified Method: �• / �/�.1� � Supplemental Information ,r:, �r�.'L. ,_��!�•. .�.� s ��:t.��:*x�;�ry, u�, ���,. � x.. ."se'° ?,s {,g ;a�•c!�'Y:i_. �;�uu.,rr�;c: >.,ci r�.. �:#e�,..:F.; >� ,c;:i� .aea .��._�.rrri,�rU• r €r �-t,;r�,�. I;v . ', siig ;;,"' * d 77 TaYP,E OFJ. , `�` O ,1 :� ' .- . ..t . r �. rt' + ,� _ .j a, a :r }' ,. =,�,. w n� .M & a? t REQiJII2ED'DATA 1 AND2- F A MIL Y'DWEL LING , ��' t < �.`- �,e.e. ��; �aLrU 1s ���.. �a z �:� „'s'?C_r . •:rm�r.,,':r�:_ ��_��.. �s„ �; r�x�; �ti��rrs :�u�.�r�.t�a+u.!ixara. 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 , r:;p;, u ;;v . ,. .. a t .mac r y +.,r,u ,� ; rt : * y r : work indicated on this application. ^ (, �F`.fi CA < TEG O. R Y ,OF C_ONS ` ri , k ,4 � 't i ? aPp X I- and 2- family dwelling El Commercial /industrial Valuation: $ .205 ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: • I tg a. p' ,.: n urk: :; Vi a, a :rt - c , t . �. ,f of fl -'c •' t •z ''-- " : A w ;•'JOB S Ie =E'c?INFORMA , r ' �a. i. °t, rriV Total number o floors: ,1 11 ' i^ r N AND L O T, _ `t a„ , : � • f:. +�tt.��::res�hs tR-:n� ra.�ru�,s�;v�.itns. a°'+:*. ��; wi,; b, uaty' �asa�: sti! m�' k:, r„ x�a" tNn1� !F�,:«Sc�'�F'�i<"t,.- sq;,�� Job site address: 0 4 0 ,4 7, j4/ t.4 FAIL. L.,¢,/E— New dwelling area: /144 square feet City /State /ZIP.' 77g,i) ./L, 9 7.z.;(' ii Garage /carport area: 4 9% square feet Suite /bldg. /apt. no.: I Project name: Covered porch area / 0/ square feet Cross street/directions to job site: Deck area: square feet .`L{ / i/, '_ . ■ Other structure area: square feet �� � ' d::i':k!.,M�- ;,;,:�%L' �. �,:�. 3'ti r�py:.:T�;an! s yv;rrr..:.i•,��: tira;:".,,3'�.; ��- :.�,�;�: View _ n liti D =DA 2161 M1yIER'CI?,t -T � iffei IST . !1: -;;x:, ,,,,v,,,, ,:,,,,,,,,u.:,,.%, ,,,..,L ra+ , t,. 2l.. ir"u ^.�.,,*w.ts�l�:'?#p..;.::r'T �- -'.'S,?';„, Subdivision: A(// _A� k /e3 Lot no.: / Permit fees* are based on the value of the work performed. Tax map /parcel no.: 4 3 �� Indicate the value ( rowded to the nearest dollar) of all Y #w F1 # w *w! � sN _ equipment, materials, labor, overhead, and the profit for the �i s: e W Y x i r k l�" e i rr r i e ' ^ 5 "' jt'c.lk 'f F�, } ra ?. ��; A . r k �+ ` D7, ,,,.., IO tO, F' i WORK g k * . i � - Pt1 #, ,.. 1 work indicated on this application. L ItC / / «hr � '� ' Valuation: $ Existing building area square feet New building area: square feet • ;q;}�, x ra5n , rv'�- 'v+3r'. :;"r�ii ,. .w,'. ' 4 ", '``F ^'••`.,F q'1"sj �5w� c � x• '' ""'';4 ,klagR ; r4`'i' .e _ } ;u,'� .�,� }Si g:a:l+ ? i'.4 1 ; g' , 1'.° 7 Ti r ' `;' �F ,-.;: NTI • ,.F.PR .. s -n ,, '� ,: ®TENANT �a Number of stories: fl.a_"• _A.r a. — r.•,s..,,,, ,. ;44.,. 0:,..:.' �.t:�:`a _3Y;' „ F ;.y d it',e R -$!'k,.....,x. S1;r1 nE.: ; ei kill l:Til-Y''F inlat'';,'ti73a!,. Name: l_E.tii/IV /1/per -w i/A---7-:, x;ve Type of construction: Address: -2 /d8 //k %f9 5:7,- 57 , , Ave Occupancy groups: City /State /ZIP: V4Amo /v , e 1 hi , 9P 6 I li Existing: ' Phone: (40) ,25 7 Fax: ( t 2 )2i , 79 V New: G.r ��. .. u;t; ` ^ ..-,._°. + } ,;nr: rilw�r:at'!^srf <.aL ;2if:s - ,�7 ,.' k -• -,� ._ - p,-°,-. d +f;.'' "� �: ± ;:ntu ... %'ktt,.� i!' •,'Pt,�",MiTi S , . ti i t ��'C, N r ,., 1 @, 1..• E;.�, , t r �. ,. s A ��. . m,_;. - ,.-:. _ __ - _ _ _ H ... . _ # ,.�, , 1 .. _ -g„ _: ...: r. -464%, -, . _- 4 ' - .' ® ,,CQNTACT'dEI qu d �4 =. yi:= ,; DIN } PERI . VII 92FEES *-11,0 �'_, ' . .i - �r;: ����• �, rs: �, �± �. ���. �` �..: ,��,:�,r��.ax���•��:�`acr v�"} ��" ��csre�. �:,.., s� .�s�',ts...:vs:�a4.a�3��,'�1v.� e ���'��r'�a�'' _ y '�;'��,tts;��+.�, -..��Er� j:7:�!�;r�' ���� fl��'t =,�'I l ��� Business name: / / �J%/ _ 0 a,ci tti ti'd (Pease"re ee'tof ee'sehe ; e l _ ,, ��� zrp 4 3 / I Structural plan review fee (or deposit): Contact name: d, -e7-E-,e J/Lf j4- FLS plan review fee (if applicable): Address: 54-4fE „9 ®fliVFe City /State /ZIP: Total fees due upon application: Phone: ( ) 4, Fax: ( ) Amount received: �'n "'. °t € `5'u *s °'rs€ -urn' #ar «,:e..�we°' a t!5� = a r �� `� + - PIT latf A'ICwS ItN SYSTE1VIr * t�n E-mail: / ,„ . r =;a.., r,,, :: „.+ ::�tza „: „, 4.. .. ,4.!,,,,,.,* , 5 . L ��^ feY. ire c �, i �rl�vP CE�syr ' = z; t„-, r ?�r°'=;,,r: -!�� °�:�” , , • : r, ;:.*.,, zia _ ,. : : , m =,! ;gy : g; *a .." Commercial and residential prescriptive installation of ,'-t' ; `! rr 't st 1I '!.;i ` -� C ON TR ACTOR WLr +t' ,f :l1 s . ,-, � ' S ! roof -to mounted PhotoVoltaic System. d'ls.�,: S_.,�� }- �.i "� �@t % �..�,.. �✓, h! #` �'kx .r".a�.. -2 :.,�.... �'�, M;:.�:. .� �w�P.,.v�caa �,.. :s,. :E:. ...u_� ..{ p y Business name: S,41wrr _ i p ®zie r Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City /State /ZIP: Permit Fee (includes plan review $180.00 and administrative fees): Phone: ( ) f F ax: ( ) State surcharge (12 %of permit fee): $21.60 CCB lie.: L9s3a7 lt� 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: /� Awe. , 1, * Fee methodology set by Tri- County Building Industry : G�>ge rE,� /(�[�1/ Dat e: '/./(//1,A Service Board. I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(1 1 /02 /COM /WEB) Plumbing Permit Application Building Fixtures GieNso FOR OFFICE USE ONLY Received . City of Tigard op Date/B Permit No.: CT 'I 13125 SW Hall Blvd., Tigard, fit,' a ' y �1�/ - � Plan Review Other Permit No.: ,gyp 1111 Phone: 503.718.2439 Fax: 51`" .598.1960 p 41012 Date/By: SW fL U - fJl, A TIGARD Inspection Line: 503.639.4175 ��P Date Ready/By: Juris: H See Page 2 for Internet: www.tigard- or.gov ^� 0 ittified/Method: Supplemental Information • TYPE OF WORK 0+,1 (rt �NGb� ,�E�'� O Z� FEE* SCHEDULE I gt New construction [dl,`n For special information use checklist ��'"°+ ° Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY ORY OF CONSTRUCTION SFR (1) bath 312.70 g 1- and 2- family dwelling ❑ Commerciallindustrial SFR (2) bath 437.78 - SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE, INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: % i/ 7 54/ 0, �,4 LAA/� / Drywell, leach line, or trench drain 18.76 City /State /ZIP: 'T /4-. -,,ep el 97,,,Z Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 13/4/7 Rerk..+eC�IGL1s1ti QJ� Rain drain connector 18.76 / � C Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: . ) Page 2 Subdivision: gligifin, j'8, Lot no.: _Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 /� 'S a/ Clothes washer 25.02 ` i %N� / j � .,,,,,.."-e, Q}?4 f� Dishwasher 25.02 ✓ / Drinking fountain 25.02 Ejectors /sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 _ Fixture /sewer cap 25.02 Name: / E' �" VN,'e .4/0e77/ 5 7i 1_-"Aid ' Floor drain/floor sink/hub 25.02 Address: 2/t& AT /297 . / 5 /oz) p� Garbage disposal 25.02 V City /State /ZIP: t /a, ' e 0 4 . 9ez 4, Hose bib 25.02 , Phone: ( . ) Fax: (3 .- 7y'7/ Ice maker 12.51 IJ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25:02 Business name: 67,9-44L-- /TS tO�fNE.� Medical gas (value: $ ) Page name: // L s // ` Primer 12.51 Contact Wa L: L1Y 7 9Y' /�[ G/C /7 /jf/ 1 Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: Fax:: ( ) Tub /shower /shower pan 12.51 E -mail: l?c7.7'.fBY-, /l'IG /t'%7 ? / L i7/74,,., ( Urinal 25.02 Water closet 25.02 C NTRACTOR Business name: O - Water heater 37.52 - • i/ _ ' _ . �l i e Water piping/DWV 56.29 Address: AO Sox .'® 7 Other: 25.02 City /State /ZIP: � 4 5, cie 9 7/ 7 Subtotal Phone: (5 )gd1 - ,0759 Fax: (5i53) 3�,,.7.r,0'5 -y® Minimum permit fee: $72.50 g� Plumbing Lic. no.: �J Plan review (25% of permit fee) CCB Lic.: /� g ` - �`��! - State (l2%ofpermit Authorized signature: d Ufa # TOTAL PERMIT FEE Print name: < .i Z RIi ir/il/7T Date: a2 / / /a0 /� 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\PLMIJ- PermitApp.doc 10/01/09 440- 46t6T(10 /02/COM/WEB) Mechanical Permit ical Permit pp, ® ' `� . FOR OFFICE USE ONLY . • � City of Tigard Received Permit No.: `7 * Date/By: , (, ` i L (' ' 13125 SW Hall Blvd., Tigard, O R `1 plan Review ' , Phone: 503.718.2439 Fax: 503.59 ..1' .0 410 D ateBy: Other Permit: S l - f -- ,. T I G ARD ' Inspection Line: 503.639.4175 ��8 O Date Ready/By: H y: U a g _` f See Page 2 for . Internet: www.tigard- or.gov r, � 0 �,� ` I-eA � ` led/Method: Supplemental Information TYPE OF WO N�N GIC ,`v COMMERCIAL FEE* SCHEDULE' =USE CHECKLIST Mechanical permit fees* are based on the value of the work Cgt construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / S,YSTEMS FEES* xk 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: / 71 �J 5a,/ ��C24/c/47//4../se (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts /vents) 46.75 City /State /ZIP: / - / a& r 6.e 9 / 7 .225 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: 1 Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 b /1 ,y X6( Hydronic hot water system 23.32 �1 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 GS jj I« 7� V Bcr) A, f Lot no.: Flue /vent for any of above 23.32 Subdivision: `J / Other: • 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Pekr / / �'' �j� Gas fire lace 33.39 ai $%/?�!� - 7l wa., �Edr.'� T Flue vent for water heater or gas c/ fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 X PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: , EAmme /1/0g ` 9z 57 J .�/ ; Environmental exhaust and ventilation: Address: /z2 .? A/6-- 5r .� 7 / 2 2 Range hood /other kitchen equipment 33.39 City /State /ZIP: K O‘,(1otce, //if 9f , f Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( )25--g.._ 79, Fax: (g/�,,e) .25'- 79p / toilet compartments, utility rooms) 23.32 ,C APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: en �, 1)kZ /E� Fuel piping: Contact name: f r, me, "1/�' /(t $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater o G' Fireplace E -mail: ear7 �1Gk/14ifg/ ileao".9 Range C ONTRACTOR Barbecue Business name: 77.1 ' Tom . 1, / Clothes dryer (gas) '-"` /' Other: Address: /3/ 5 . 5 , , r e /A S Ri A,,. MECHANICAL PERMIT FEES* City /State /ZIP: �/'P Ol? L .11jy �: G/ 70fX5� Subtotal Minimum permit fee ($90.00) _ _ Phone: ( P Fax: (5-#315:57,....0,9/9 - Elan.review (25 %.of_pennit.fee)_ CCB lie.: 7rzf, State surcharge (12% of permit fee) TOTAL PERMIT FEE ,..•• Authorized si nature: This permit application expires if a permit is not obtained within 180 g � - � da y s after it has been accepted as complete. Print name: e, ,C6y��)tT Date: av //, * Fee methodology set by Tri- County Building Industry Service Board I:\ Building1PermitsUMEC- PermitApp.doc 09/09/10 440 -4617T (11 /02 /COM/WEB) •lectrical Permit,Application "\`41,. .......,. r:, Fo�uOF 7. , us oNl � + � ' # Rccetvcd - City Og Tll Blv Date/By:. - PerntitNo M T Jo - 00/1..g rs a " ' ° 13125.S1+V Hail Bivd -, Tigard, 6 4 t sC) 1 S1, Plait n Rc u S. C O Other Pcrmtt: i i n ' Inspection Line: 503 i } Phone. 503718.2439 Fix 50 ":598.1960 cG Q '1 D9trJfi :'. -- "� d�.v I � ' AxRD 639.4475 y n il Date ady/By: tans- See Page2 for t ° a ...._. Internet ttww.tigard- or.goy -r`G,P ..Vi :. s +- ethod Supplemental Information TYPE OF WORkkG GP,' ,c. ,PLAN REViEW .- . . ,., j� I\reiv construction ® /alter .� ;t : ` 4tit G - Please check all that apply (subrnita sets of plaits - wrtems checked below): J°! - . 0 Serviee or feeder 400 amps or' more ❑'Building over three stories. ,❑ Detnohlton ❑ Other: whera tie available fault aliment ❑ Marinas and boatyards. t CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150, volts or 0 Floating buildings. , „ less to ground, or exceeds •14,000 ❑ Commercial -use' agricultural X l, and 2-family dwelling ❑Commercial /industrial 0 Accessory building amps for all other installations, , buildings. .❑ Multi- family ❑Master:builder 0 Other: °Fire pump. 0 Installation o75 KVA or n - JOB SITE INFORMATION LOCATION ° Additi os ystem. larger separatelyde sytem. 7. ❑ Addition 'anew motor load of ❑ "A "; "E ", "14 '1-3", I o0t1P: or more. occupancy. lob - no.: Job s 771 site address: /0,,t06,7' /0,,t06,7' _5":41&47/ ta nk Six or - more residential units. O Recreational vehicle parks. , City /State /ZIP: 4 4 9 72, 0 Q iIcrtthccarc facilities. ❑ Sulip for more than {VJ r N Ifazardous locations. 600 volts'nentinal. • Suite /bldg- /apt. no.: Project name: ' 0 S ervice or feeder 600 amps or more. FEE ,SCHEDULE , ..,.. , Cross street/directions to job_ site: nacrtrtton -^ _ . • I ore. 1 Pce. 1 Total 'I . f . • g unit. 8 Ncw resic dential single= or multi= fain,ily di yellin 1 , - ,1,- ,- Liclgdesiattaclied jarage.. - . - . , - . . r "/ '/ - . I,130b'sq=R. - '`168:54 Subdivision: (' : i . Lot no > . /` r flfltl�� . , �/ .9 t£ / <i' / 'ES, :nthl'I;SOQ'sq:? t.`drji Mori . " 0.92 ! t ' '1 ax map /pareel ho.,: .. . . . .. - 1M - tiled energy; sidential rgy'• - 75:00 2 DESCRIPTION OF WORK ...(with above sq ,R-) - . - . /,,..... / f 'Limited energy:: multi= family' 7) / 5 -, , „, /y G• .i✓ , ,,,e ,. , ,. , restdential'(with above sq. n _ a 7 00, 2 -, • - - ^ f - Services or feeders installation, ion, alteration, and /or'reldeation •• 206atnps'or less 100.70 2 PROPERTY OWNER -❑ TENANT 20t nail's t6400 -amps . - - . 133:56 .. . `2 �/ 40 amps Ig 600 nmps 200 34 . Name: , , k—A i4 iV��- j'°" . / 60 1 amps to 000 amps _ 30t Oa 2 f j ver O 1 00 0 - amps o Address: or volts : 55246. 2 / N /1 ., • 5", , /z I. •Ietnpora'fy'servieek or feederiinsfallatien, alteration, gild /or Cl. ty /State /ZIP V u e?Gl v ,,r, , 9f /d' - relocation � S9 3G i Phone: 2 7 Fax 2 amps orless . _ - . .. .._ 0 .. .a c l r ! ;. dd�L� 176 >, 5 �9'� . , iol aMps a 125.o3 , i Owner installation: This installation is being- mademn property that I own which is not intended' for- sale,,lease; rent; or exchange, according to' ORS 447,149, 670, 401 Inns 1_6'599 amps t6s.54 z, ,Ilranch circuits= neve alteration, or citension,.per panel Owner signature: -_____-_ Date: , - A. Fee for: blanch circuits with _ APPLICANT i ❑ CONTACT PERSON abode service or feeder fee, 7 42 2 cach'branch circuit - Business, name: r } B. Fee for biaiidi circuits- tvithorit • ![-f `t✓ -f+^" r r- +� +'�� Se rvice or feeder fee, first • ? /1/74 56:18 2 Contact name: 1 e ,l • �R ' bran circuit -- �1� 1 •. � � Ea add circuit it,,- 1 7.A2 " Address: .ruiseella' neon' s - (service orfeciler:nofincitidcd) . - . . /StatelZlP: Bali nidiuifadttrectortnodttlar ; 67.8 ' 2 Cit Y dnclijng, servicc'antUor'feeder Phone: ( ) Fax : ( ) Reconnectonly: 47.84_ 2 -- - / CJ .4 ,J Pump orrrrigiltion circle .67.84 "2 E-mail: -l: (d!r i 'Kfl,� r� /fr//1/ 7v', f,./.4 -- - .Sign ofoutlinelighting 67,114: ' 2 CONTRACTOR ... Signal circuit(s)'or limited energy 13iisutt s'namcc Ls panel nlienition,orextenston .. Page -2 2 f777 � r !Y y G7 - // l h'j, e'/7 � G - additional Address: -i - /3'- Addittanal inspeetion'(1 hi -miii) " -, • , 66.25 %,hr , . I -/ ' Investigation (1 lu mij ), 665 % hr city/state/Zl l : t or f / 1". , .. ,- 78 8i lir, _ .. Phone: " Fx: 7 / Insp eeti is ch no fce'is 9000 / hr ( ) � l a ($fd, ) 1 -4 � spiel mn y. ist ki tr m in) _ . .. . - . . COB. Lic -: /23f j Electrical 3 .'33p2 . Suprv. Lie.: 559 e '5 EI ECTRIGAL PERnlrT,rCFS y Sublets': Supiv.) iectriciun signature; required : Plan revlcw'(25 %.ofprrmiefce): . Print name: ' lri2 / -fit D i l l e: St ate'suic har (12 % a P it e en n 'fe �i T TAL MIT.TEE Authorized signature: w T : ; ' . � *,o This permit application expires if n permit is not Obtained - Within 180 ��f " L days after 'it ha; been accepted as complete. • Print ;nanie: �,,, J /o� . -` Date: / �20J2 + tdumher of inspections allotced per penmi. I :\puilt5i11 ?e,i'mits1ELC - a Pan iiApp,d 07101/10 440. /CO . . t A ° Y k c l , -o- - 7) ?(J4 Building Permit Application REC IVE cep "Ti t 1'OROFFICEUSEONLY ' t 9 ; s City of Tigard Data'f3y , Plan Rei iew � �` I li 13125 SW Hall Blvd., Tigard OR. 972 � , r �'� othe Permits. , A p }r) w _ 0011 ' , . . Phone: 503.639.4171 Fax: 503.598.136 J °9 2010 r>at _ Fla' �+U --v" Date heady, Isy © See Page 2 F01' „ f., >I 7 , Inspection 1.ine: 503,639.4175 � Yo itrd/vladie . 3 J(; �j // t° ” k p >+� CITY OF TIGAIt t�{� Stippleinenlal Information Internet: www.tigard-or.gov BUILDING DIVISION® LL/ t' I e_ t ' ,E` €3, TYP OWORK i''`.• �. F � � � �R UIRED,DATA: '1 AND!2= :FAMIIYD Q New construction ❑ Demolition Permit fees* are based on the value of the work peiforined _ Indicate the value (rounded to the nearest dollar) of all ❑ Additionalteration s placement ❑ Other: equipment, materials, labor, overhead a the profit for the .f "CATEGORY; O F` CONSTRUCTION work indicated on this application. 2 1- and 2- family dwelling \ ❑ Commercial /industrial Valuation e 0 '3 ! 64.81 i l„ - . ;` _ ._ Accessory building , ❑ Multi - family Number of bcdro. ms 3v;; ; , ;E ', '; ° . s ❑ Master builder V ❑ Other: Number of b' trooms: '„,',,,2' Kam, JOB S ITE:INFORMATIOO N AN D LOCATION Total nu er of floors: .t , Job site address: '11294, ' 7SW,Ct1FFAL;L-; AA`NE = „a' ;;,; .. � A,. .,�, -. ,... �, -,� .... , `” New . ve!1in area: �>�'�; -, ,:: � _ g 1854`: , square feet City/State ,7IP: TIGARD, OR. 97224 \ C" -v'''' rage /carport area: 693s_ square feet Suite /bldg. /apt. no.: 1 Prtaject name: [3(.411 i'leinfrow V - 0. f 'overed porch area: 12 6 square feet Cross street/directions to job site: - A ' , fl eck area: square feet Other structure area: 2 k7 square feet 1 "7 QUIRED COMMERCIAL -US CHECKLIST" Plan No 1806 °ELM'HURST'AMERICAN '= =:' ``t " - ' ..,•:,.:,., ,,. ''''' : '' e :: -: - _ - , .' f 1 -n rt fees are based on the value of the work F perfotred. Subdivision: BULL MOUNTAIN VIEW ESTATES I Lot no , ;' ' In hcate the value (rounded to the nearest dollar) of all y � quipment, materials" labor, overhead, and the profit for the e fax map /parcel no.: e • 1 N irk, cheated on this application. ' `DE OF'WORK_ . "H 1. aluation NEW CONSTRUCTION t e i v4r \ I 4 001 Existing building area: square feet � . New dwelling, area: square feet J UUU N, Number of stories: .. 0< : PROPERTY ` ; , • c � T \ \ Type of construction: Name: t� EST 1111 1.5 DEVELOPMENT ` Occupancy groups: Address: 735 SW 158th AVE V \ Existing: City /State /'LIP: BEAVERTON, OR. 974006 New: Phone: ( 503 ) 641 -7342 • Fax (S03) 641 -7661 _ 0 '°APPLICANT 10, CO_NTACT•PERSON All contracto' and subcontractors are required to be - licensed with th Oregon Construction Contractors Board Business name: WEST HILLS DEVELOI'ME under ORS 701 an may be required to be licensed in the Contact name: STEVE POLLARD jurisdiction in which ork is being performed. If the applicant is exempt fro licensing, the following reasons Address: 735 SW 158th AVE apply. City /State /ZIP: BEAVERTON, OR. 97 \\ Phone: ( 503 ) 726 -7041 Fax: ( 503 ) 641 -7661 \\ E - mail: spollard @arborhomes.com i,- 'CONTRACTOR' - e °B IT - -� �' ' � � UILD[N S *' Business name: NEST HiI,I ,YDEVELOPMF.NT P /ease refer to fee scheeltr /e Address: 735 SW 1584 AVE Structural plan review fee (or deposit): N City /State. /Z1P: BEAVEI I'ON, OR. 974006 FLS plan review fee (if applicable): Phone: ( 503) 641f7342 F , : ( 5(3') 641 -7661 Total fees due upon application CCB tic: 104847 Amount Received: Authorized This permit application expires if a permit is not obtained signature: fp.. _..., within 180 days after it has been accepted as complete. - H — Print name: STEVE POLLARD f Date: 8/17/2010 Fee methodology set by'I•ri- County Building Industry Service Board, C\ Building \petmits'BCP- RESPennitAppdoe 11/6:07 440- 4613T(11 /02/COMAVEB) Electrical Permit Application 2J r FOR O F F ICE USE o .. ' City S W Hall Blvd.. Tigard OR. 972 of Tigard RECEIVE I Reserved Da - ., , . . Il 13125 re ;ay i �1� . , 2? Plan Review Othei Permits: ' . Phone: 503.639.4171 Fax: 50A3. 8. 116(9 C01 Date i to �• ; �y Y © sec Page 2 For '� 3 ':: s : " , inspection Line: 503.639.41 7 5 NonfieddAtethod" Jun;, s ; 'a .5.1 ..` - Supplemental Information Internet- sowsai ti oarrl -nr mw CITY OF TIGARD , ,-:' , /''',. -- ' TYPE_ . DIVISION «i ,,i a — PLAN 'REViEW IZI New construction ❑ Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked). ❑ Service or feeder 400 amps ❑ Hazardous locations 0 Demolition ❑ Other: or more where the available ❑ Service /feeder 000 amps or more ' 'CATEGORY,OF CONSTRUCTION - fault current exceeds ❑ Building over three stories � _ .. 1(1000 am ps : tt 150 volts or ❑ Marinas and boatyards EI I- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings El Multi- family ID Master builder ❑ Other: 14.000 amps for all other ❑ Commercial-use agricultural installations. buildings I ;rtJOB $ iTE : IN F ORMAT19N ND LO ATiON,r,.•, !' . ' � installation ofi75 KVA r forger � � ' "� - ❑ t'1TC p10 p separately derived system Job no.: I Job address: 12047 SW CAFFALL LANE ❑ Erne; r icy s tem ❑ " "E "."1- 2 71 -3' occumaney City /State /ZIP: TIGARD, OR. 97224 Mon new motor l0 0 00HP or more ❑ Recreational vehicle parks Suitelbldg./apt.no.: Project name: Six r more residential units ❑ Supply voltage for more than alth -care facilities 600 volts nominal Cross street /directions to joh site: Ilk ‘, -- FEE -SCHE,DULE .. =.. '' ,' escription - I Qty. I Fee I Total Subdivision: BULL MOUNTAIN VIEW +,STATES 1 I,ot no,: I • \ N, ev ormutnfamily- dwellmgnntt, i udes garage -,;;, ,' Tax map /parcel is ki , , 00 sq ft or less � K ID. 1 t m DE .W SCRIPTION >OF 7. \ Ea. add'1 500 sq. ft or portion La ° J J �o i25 .t) Ii ` Limited energy esidential _ NEW CONSTRUCTIOI gy ` 75 00 /�..� 2 ` \ ( with above sq. ft,) ! �� o � _ . - residential ( with above sq ft) 75 00 2 Limited D PROP OWN ER ' : ❑ TEN 1 rM Seivices;ot feeders installation alteration; and /or t eiocatioir ' Name: WEST HILLS DEVELOPMENT r 200 amps or less 80 30 2 Address: 735 SW 158th AVE 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 City /State. /ZIP: BEAVERTON, OR. 97006 601 amps to 1,000 amps 240.60 Phone: ( 503 ) 641 -7342 Fax: ( 503 '41-7661 Over 1,000 amps or volts 454 -65 2 Owner installation: ibis installation is being made on residential or farm properly ass by e of a member of , ]'Ptnji'orar) SetviceS or feeders installatio 11 ,alteration,antl /or.felocation' m y immediate faintly This property is not intended for sale. exhange i rz'm. (ORS 7 541 I J arid 479,56011) - - " � _.- - .. . - , _ - Owner signature AI Date: 200 amp or loss 66 8a 2 ; � � TACT ;PERSON 01 amps to 400 amps 100 30 2 0 - APPLICANT i ' 1 .. 9U .rip; in 599 amp., 133 75 2 Business Name: WEST HILLS 01 'i F,LOPIO' EN"' ; i - . _: ,.,.� , Beane trentts,= `i> alteration; o`r, extension•pei� panel, " ",-,: k,:': ':" '� A Fee foi or ill circuits ;math Contact Name: STEVE POLLARD above sons ice feeder fee, 6 65 2 Address: 735 SW 158th AVE Et each branch cirri Fee for branch care s without service or fee. - 46.85 City /State. /Z1P: BEAVERTON, OR. 97006 fee, first branch cncait Each add! branch circuit 665 Phone: ( 503 ) 726-7041 I 'ax: ( 503) 641 -7661 titistellhti'eous ( . tide"r not'InLIndtd )„" 1=.-mail: spollard @arborhomes. om CON CTOR dwelling. t ern ice. and . or feeder 90 90 Each ma factu r •d or mo l s Reconnect only IIIN .66.85 1 Business Name GARNER E1.EC ,' IC Nano or irrigation circle 111 5 2 Address: 2920 S.E. BROt WOO1) AVE. Sign or outline lighting 53.40 City; /State /ZIP: HILLSBOR OR. 97123 signalcncmt(s}orlimited- energy panel, aileratton, or Page 2 2 Phone: ( 503) 648 -4552 I Fax: ( 503 ) 642 -7925 extension Describe . E ch. audit -ionai- inspe o‘:er " allowable in.an of the ahove<.. CCB Lic.: 121159 I Electrical Lie.: 34-305C I Suprv. Lie.: 3'7075 Per inspection 62.50 Investigation per hour (I hr inn) 62.50 Suprv. Electrician /-40//0' industrial plant per hour 73.75 signature. required: �� � . i , E CTRICALPERMIT FEES ' `` , / �- ' 7 - � � r � E L _,�, -� - � -._.� � ; .,:� Print name: C - ' 'ER I Date: 8/17/2010 Subtotal 1 ;° LLB Authorized 'tyro, I — Plan review (25% of permit fee) Signature: St .surcharge.( -12 %.of -permit -fee)- _4 c 6__ �� ,�'■ TOTAL PERMIT FEE 4 z 4.7%1 Print Halite: STEVE POLL' • D Pate: 8/17/2010 This, permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. f:'•, Building `d'enntts \Ft.C- PennitApp,doc 05/23/06 440- 4615T(11 /05 /COM/WEB) * Number of inspections allowed per permit. Mechanical Permit Application ,�1 ' d , pgp (:ICE m o I X r � � ` . : y City of Tigard � ` -.Receive Permit No 1 M 7 fl — do 1 O. :11iirr':;,, 13125 SW Hall Blvd., Tigard, OR. V02•3 9 Plan Reviet; 1 1 2 Date Bs 0 Other Permits: C e , ['hone: 503.639.4171 Fax: 503.59 4 O Date Ready/11v © see Page , For r . nr Inspection Line: 503.639.417 Notified;Method • Juns z P CITY O F TIGA 1 Supplemental information Internet: www Ugard- or.gov BAY T T DING DIVISION E €` .Ii ;t` _ ' TYPE C1F WORK, "2. COMMERCIAL FE S CHEDULE, -;USE CHECKLIST �;" t. � sty �.. ", . _ :.. "� � _. _... _ _ ._ _ � ,. _ 121 New construction ❑ Addition /alteration/replace Mechanical permit fees* are based on the value of the work pertbrmed. Indicate the value (rounded to the nearest dollar) of all mechanical ❑ Demolition ❑ Other: materials, equipment, labor, overhead, and profit °" � C ; °, CATEGORY OF 'CONSTRUCTION'''' ,��:, •„ ;,. ,.. Value. Q I- and 2-family dwelling y g ❑ Commercial/industrial ❑ Accessory building ��, NTIAL (SYSTEMS FEES *�. _, RES IDE ❑ Multi - fancily ❑ Master builder ❑ Other: For s, cial information use checklist. JOBiSITE INFORMATION' AND LOCATION Description I Qty. I La. Total Job site address: 12047 SW CAFI+ALI, LANE heating /cook _ Air conditi= er or heat pump 14 00 City /State /ZIP: TIGARD, OR. 97224 re ' rte Ian showing lacement) Suite /bldg,lapt.no.: I Project name: Fur a 100,000 t3TU (ducts /vents) .41. -7 j 't .." ace 100,000 t IOU (ducts/vents) 17.90 Cross street /directions to job site: .as heat pump 14.00 Duel work 10.00 1' 0 lydromc hot water system 14 00 Off \ Residential boiler (radiator or hydronic) 14 00 • 1 Unit heaters (fuel -type, not electric). Subdivision: BULL MOUNTAIN VIEW ESTA' ES Lot no.: \ in - wall, in - duct, suspended, etc. 14.00 lf Flue/vent for any of above 0.80 Tax map /parcel no.: Other 10.00 NEW CONSTRUCTION � ' - � _. "� ,_ DESCRIPTION OF`W c > .0. ' Other fuel appliances " . TION ‘ I Water heater i lr' � Ir��) Gas fireplace ( . �: 1 I�' Flue vent for water heater or gas fireplace 10.00 ti 0 Log lighter (gas) 10.00 ood/p et stove 10 00 RI 1 PROPERTY OWNER ': ❑ e ; ANTI s Wood/fireplace/insert 10.00 Name: WEST HTI:LS DEVEI,OPY 'NT Chimney/liner/flue/vent 10.00 Address: 735 SW 158th AVE Other: 10.00 Environmental exhaust and ventilation City /State /ZIP: BEAVF,RTON, OR. 97006 Range hood /other kitchen equipment A 5 Phone: ( 503 ) 641 - 7342 Fax. 503 — �_. �.� ) 641 -7661 l othes hesdrve-exh�u t I _ � ,� -.f ti^ 0 `APPLiCA'NT '' ri : PERSON _' Sin -duct exhaust (bathrooms, toilet A compa . eats, utility rooms) Za-. � . Business Name: WEST HILLS DEVELOI',M '`I' Attic /craw pace fans 10 00 Contact Name: STEVE POLLARD Other: 10 00 Address: 735 SW 158th AVE Fuel piping , ti - Furnace, etc. i City /State /ZIP: BE.AVERTON, OR. 97!.06 (ia.s heat pump Phone: ( 503 ) 726 - 7041 Fax: ( 503 ) 641 -7661 Wall /suspended /unit heate E -mail: spollard c(D,arborho -s.corn Water heater I I r 'Ce TRACTOR Fireplace Business Name: PYRAMID HEAT G AND COOLING }Barbecue Address: PO BOX 1502 Clothes dryer (gas) \ City /State /ZIP: SANDY, OR. 97055 Other: Phone: 786-9522 MECHANICAL PERMIT FEES ( 503 1 786 -9522 Fax: ( 503 ) 786 -3432 Subtotal $ 2`7/,67 CCB lie.: , 59382 _ City or metro lie.: — Minimum penniffee ($72 50) + Authorized / 1 � Plan review (25% of permit fee) $ signature: � State surcharge (12% of permit fee) $ ' a 'Z Print name: TAM( IIAGE3IAN Date: 8/17/2010 TOTAL PERMIT FEE 53 Vt / C f This permit application expires if a permit is nut obtained within 180 1:ABuilding \Penntts \MCC- Permit App.doc 0I/19/07 440 -4617T (11 /02 /COM/WEB) days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board Plumbing Permit Application mived RECEIVE'i''' 'fogotANKE*-9Npy,:,:goirmoungloppgm Bezzuk City of Tigard Date/By EllIPINIMIEMI 13125 SW Hall Blvd., Tigard, OR. 9qh" 1 9 Plan Review Other Pernuts 2 0 H Date/Bv. Pii II' % ta \f,t Phone: 503.639.4171 Fax: 503.59gW0 a- Date Ready/By. Ell See Page 2 For Juris Inspection Line: 503.639.4175 1.Notified/Method: Supplemental Int CITY OF TIGAR t :))t).'1:ILTi)40: Internet: WWW.tigard-ongov ' RUH Ditercomv!cinN , , , ,,, , _ , ,, , '0',F!'..9FYYPRKIP`'''' ' ' , ;:','"': -j,Ii' ''':::-;; ' !'::- -:17- ::''I''' '( RI New construction 0 Demolition For special information use checklist Description Qty Ea. I Total [3 Addition/alteration/replacement EI Other: . , New 1-2 family dwellings (includes 1001). Ibr each utility connection) CATEGokY OF Cokstliuctiow.;=edir- ,— SFR (1) bath 24920 El 1- and 2- family dwelling 0 Commercial/industrial SFR (2) bath El Accessory building 0 Multi-family SFR (3) bath 399.00 0 Each additional bath./ - 45.00 Master builder 0 Other: Fire sprinkler (4 ' .1 sq. ft ) Page 2 r:;?''' :' , ')., • ',: ''''''::' : ,:". JOB SIT'INPORNIATION'ANO'LOCATION: " « , Site utilitie Job site address: 12047 SW CAFFALL LANE Catch asi Aar: drain 16.60 City/State/ZIP: TIGARI), II . ' 7224 Dry 'ell, c ine, or trench drain 16.60 Foo St: n (no linear ft.: ) Page 2 Suitelbldglapt.no.: Project name: M ')L4'1-1( ured home utilities 110 00 Cross street/directions to job site: Ales 16 60 R n drain connector 16.60 anitary sewer (no. linear ft.. ____) Page 2 ", Storm sewer (no. linear ft. 1 Page 2 Water service (no linear ft . ) Page 2 Subdivision: BULL MOUNTAIN VIEW ESTATES Lot no.: 1 Fixture or item Tax map/parcel no.: P Absorption valve 16 60 — DESCRIPTION OF WORK,, ,,:,-,._, -,,-- „ I ,; '',I' „..::::, Backflow preventer Page 2 Backwater valve 16.60 • NEW CONSTRUCTION k ‘ cli - Othes washer 16.60 A ishwasher 16.60 Drinking fountain 16 60 I 'PROPERTY OWNER : , ';' `:' N . ; - , ,i:.7, , ;:l. "".;,,-; 'f Ejectors /sump g 1660 Expansion tank 16 60 Name: WEST LIMES DEVELOPMENT Fixture/sewer cap 16.60 Address: 735 SW 158th AVE or dram/floor sink/hub 16.60 City/State/ZIP: BEAVFRTON, OR. 97006 V I Garba,; disposal 16 60 Phone: ( 503 ) 641-7342 Fax: ( 503 ) 641-7661 Hose bib 16.60 APPLICANT '---- - '" Er CON ACT - PE 16 RSON' -'• • , Interceptor/grease tr. 16.60 Business Name: WEST HILLS DEVELOPMENT Medical gas (value: $ ) Page 2 Contact Name: STEVE POLLARD Primer 16.60 Address: 735 SW 158th AVE Roof drain (commercial) 16.60 City/State/ZIP: BEAVERTON, OR. 97006 Sinklbasin/lavatory 16.60 Tub/shower/shower pan 16.60 Phone: ( 503 ) 726-7041 I Fa. ( 503 ) 641-7661 Urinal N 16.60 F-mail: spollardaarborhomes.co Water closet N 60 • 1 ) ' - ''‘' ' ' -',:' ' :-: '''' '' -,1 :CONTRA' TOR:, ;,,,' ,--,-, r , .-i, '-. — ..1'. - . Water heater 16. Business Name: DEVELOPMENT NO • HWEST (\ '01,COTT PLUMBING) Other: N, Address: 1075 W. HISTORIC .0 '6 6 A RIVER HIGHWAY Subtotal Minimum permit fee..$72.50 City/State/ZIP: TROUTDALE, OR. 97060 Residential back llow minimum permit fee: $36.25 Phone: ( 503 ) 667-1781 Fax: ( 503 ) 667-9891 Plan review (25% of pennit fee) S CCB lie.: 112220 Plumbing Lie. no.: 26 PB State surcharge (12% of permit fee) _ Authorized ..." TOTAL PERMIT FEE 4. a .--,.., signature: *, if , 4. This permit application expires if a permit is not obtained within AIL or 180 days after it has been accepted as complete. Print name: GARY L1PPOLD Date: 8/17/2010 •` Fee methodology set by Tli-County Building Industry Service Board I '1BuildingWerinits \PLNI-PermitApp doe 12/27/06 440-4616'1 ( 10/02/C01\4/WEB) 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. BUILDING DIVISION TIGARD TRANSMITTAL LETTER a / TO: Q1V DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED OCT 1 2010 CITY OF TIGARD FROM: C07" T obDAR BUILDING DIVISION COMPANY: Ag-r- c9fz /-1 yyl PHONE: CJ56 Z ra - - 70 4• ' By:/ RE: z O 4 LAA J m ST z ©tO- cry l 44- — (Site Address) (Permit/Case Number) • SOU- M . V lv f= TAT E. S L ex (Project name or subdivisio name and I.t number) ATTACHED ARE THE FOLLOWIN t I ?EMS: Copies: - Description: Copies: Description: Additional set(s) of plans. Revisions: 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): g'EV gait vSsE S REMARKS: '. ' -- - ► C AT-4 E� F o R O FIC USE ONLY Routed to Permit chnician: Date: !61(3 ( (c) Initialq of Fees Due: �17Yes ❑ No Fee Desc . iption: A i . nt Due'' YN 11 i' °frl-k) S/( R $ ` C� Special Instructions: ` � \ c) V 1 - Rprint PermiU (per PE): 0 Yes ❑ No ` Q ❑ Done Applicant Notified: $cc -/J Date: l O// y/ia - Initials: I: \Buildin Forms \TransmittalLetter - Revisions.doc 4/4/07 _ _ _ - - - BULL1W6lIN`�AI�A - _ , - • 4 I 111 — — � TRANCE i —�, 1gl••OR � 1 `� WA WMONUMENT � �� MASO 51DPWLK . i r ommi 8 If r___ _____ _____ _ P 1 twit ' ;•, _ i — S sTREET�fRE B ELOW - - - - MINIMU B T �pING SETBACK E 1 ' ' ' " , , 7 IMMO / / v. = I...- 4 Q 481 4 ' •051• CONTROL FENCING at Q TLL W 290 w PATI. '. : . � � WA LAN. SC. - � 0 5%. - . 8,, ` STREET TREE(2` CALIPER -20' O.C.) .44c r'' l e' �� . — MAPLE ...... .......:............. .. TRIDENT .......... ............... ... r 4 ` :PLAN 7 1806: : : : : :: :: : : : : : ;: : : : : :: :: : :: : :: : : : : : : : : : : :: ::: : : : : : :: : : ':::: ki �c - NORTHERN RED OAK ,,,_ L : : ELM URST A ERICA CS ."6 ' WALL :: MAIN ' LOOR: : : : : :: : :- : ' : : : � ...... 1 if •'EGON WHITE OAK L F F 482:: : : : ' `: : :- A c u O _ LOT 1 N I, 2 s-•1 : : '• :: : : : :: c 'i 9 4 6�; ' � + AX r '�:::::•::•::;•: ::' � � TALL -,‘ 0 , 5 --fo .4- :::::.::::::::.::::.::.;:::::::::::::::::::::::::::::::::::::: : : : : : ;.: : : : : : : : : . ..TEff.:=-:::: : : : : : : : E 7 ‘in 'i: :r: ;;-:: :::: 481' :? ' .r. LAND lir vr _- `:: h., r q' AT WALL WAY owl: '� i .....:„.:...... , :.4: , •_ P.. ' ,.. . A B 9 ¢ f PROPERTY UNE MA SO NR Y WOOD fA iUM ' `> � ::::::: uT ; T •.t- 11°, , 7 ■ ''''''''. t - /S t fe T i ,a : E � I �' g _ � ` j• : ,fit �� I��� - N 417 CURT 68.. 477 1 AUG 2 2010 I SW CAFFELL LANE 1 DRAWN 08 -16 -10 SHCs SITE PLAN REVISED 08 -21 -10 SI-ICi STREET TREE Contractor is responsible to check BULL MOUNTAIN VIEW ESTATES site plans and notify designer of any NW 1!4 SECTION 10 T. 2S., R.1W., W.M. errors or omissions prior to start of WASHINGTON COUNTY, OREGON construction. Also plans and LOT 1 specifications shall be approved by local building authorities prior or 12047 SW CAFFELL LANE start of construction. 7086 SQ. FT. WEST HILLS SETBACK REQUIREMENTS: EVEI Q I, I -. xO _....._._•_ _ ,. FRONT (HOUSE): 20' (FROM PL.) e FRONT (PORCH): 20' (FROM P.L ) FRONT (GARAGE): 20' (FROM PL) STREET SIDE: IS' (FROM PL.) SCALE 735 SW 158th Ave. SIDE: 5' (FROM P.L) BEAVERTON, OR 97006 REAR YARD: IS (FROM PL) 1 " =20' CITY (r TIIGARD :SITE P httvLw • BUILDING PERMIT NO.: /i157 3-0i0 — CO( LCD i?h` /sj PLANNING DIVISION: , Required Seacks: pi, Approved ❑ Not Approved ,. Side: Street Side: (� F 21 ront. 2_ Garage: .1.4. Rear: Visual Clearance: 9C Approved 0 Not Approved Maximum Bnitdinr we:: ,, ? feet CWS Servic <' . i ❑ Yes No ❑ Rece'ved Bs,: Xi t)ate: i ENGINEERIN DEPARTMENT: Actual 'lope: % n Approved ❑ No Approved ' Site Pt : V. - pproved 1111 t Ap roved By: Date: tok Z t 0 Notes: CITY OS T1GAIIR• SITE PLAN R VLZW -_ . , BU lk..DING ItERM1T N P1 ST?Oiu —Cx,» VA (k j zr Street Trees: gApprovsd ❑ Not Approved Protected Tree-F ❑ of proved By: Lm1 __ Date: Q,/a ?1 Notes: LOT 1 "BULL MOUNTAIN VIEW ESTATES" /D/61 "/ 5tr/ G A IL ,4l L LA/ 015f ,?o /0 -00 1 SW BULL MOUNTAIN ROAD I 1012 1013 I 1011 2°02 ca 2003 2004 2001 1 3? .E. I 5.0' ii r i 6.0' 1 I W LOT 1 U e I Q LOT 2 J of (o I T 2008 2007 N i O - t— C ¶t O , 3 0 0 6.0 I 5.0' M 2006 CO 1002 2000 0 2009 2005 1010 N o 1009 j N 1016 1017 1008 . SW CAFFELL LANE I ' SCALE 1" = 20 FEET , N c co cu m N, ENGINEERING • PLANNING • LANDSCAPE ARCHITECTURE JOB NAME: BULL MTN VIEW FORESTRY • SURVEYING �`�� LICENSED IN OR & WA JOB NUMBER: 3086 AK 13910 SW GALBREATH DRAWN BY: DRIVE, SUITE 100 SHERWOOD, OR 97140 CHECKED BY: RDR RNC/NRRRINC ces. FORESTRY PHONE: (503) 925 -8799 FAX: (503) 925 -8969 DWG NO.: 3086STK OFCES LOCATED IN SALEM, OR & VANCOUVER, WA Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: VvMs'tO(O -, G0i n Z Jurisdiction: Site Address: I 4'7 C w 0 4_, X 4 l tifk Subdivision/Lot #: , fr R514(-.# and/or i /,1 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: 41 Date: /b 6 Owner /Gene Contractor Authorized Agent Print Name: Wl 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 fmal 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\ Fortes \RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 • • MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, ellit6niefi ifetoti $4.16 am the general contractor or the owner- builder at the following address: Site Address: 11041 c ) (dt I LI"-, • City: � . 4��'/� Permit #: 141 Zo10_ CO I4 Subdivision/Lot #: 1 5( 1 \ 1 RSIK and/or Map and Tax Lot #: .1--• 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. 1 41/Z. Signature: Date: General Contract or Owner- uilder l:\ Building\ Fonn \RES- MoistureSensitiveWood.doc 09/25/08 STREET TREE TIGARD CERTIFICATION an M415 ent o / hW V am) owner /a r g f (PLEASE PRINT) (PERMIT HOLDER) do hereby certini 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 TO 1O CZV4Z . SITE ADDRESS: (i;o 41 StA) a V t Lam, SUBDIVISION: LOT #: SIGNATURE. 6/111C° DA"1 E : {,� Z� (OWNER/ NT) RECEIVED & VERIFIED BY• DA 1 E: (CITY OF TIGARD) ❑ Tree location verified per approved site plan. 1:\ Building \ Forms \StreetTreeCertificate 05/30/2012 Mechanical Permit Applicatio ' f Iii ! ' ()NIA 01:1 ICI.: USE of Tigard Received t� 2 /2 Permit No.:MS/: , D r, L it 13125 SW Hall Blvd., Tigard, OR 97223 AUG 0 2 2012 Plan Review 111. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: . I G A K D Inspection Line: 503.639 CITY C� OF T IG 4i1:"l � Date Ready/By: ® See Page 2 for Internet: www.tigard or.gov ! �/� 1 y t r'+ - Notified/Method: Supplemental Information B n5,‘;70 n,y.; stor,E TYPE OF WORK 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 ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES" 66.--and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning AL L...6 Job site address: I A ❑ 5 4,../ cj � 4, / 1 /..)-1 (requires site plan showing placement) ..---- t 46.75 1t7� City/State /ZIP: G "''"' 1t Furnace 100,000 BTU (ducts/vents) 46.75 I i Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: ( ( WV }_ kS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 I �� t Residential boiler (radiator or hydronic) , 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: )v (I I VM ')-- s a Lot no .: . I Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 r— ' Gas fireplace/insert 33.39 �i �� S ' Flue vent for water heater or gas n _ .&06 'TO �(T r� /+ _ / / fireplace 23.32 /� Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: t vas.,/ Environmental exhaust and ventilation: Address: (p Range hood/other kitchen 'Z "V Ve. equipment 33.39 City/State /ZIP: / / , t rl, : Tel � t� Clothes dryer exhaust 33.39 -, s ,t F ax: Single -duct exhaust (bathrooms, Phone: �( ) (,K 6 fR 3 ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: 6 1.,,,,A. I _ t Fuel piping: Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: 50,,•+,e Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) ' 0 ' A , Plan review (25% of permit fee) CCB lie.: State surcharge (12% of permit fee) /Q . , D TOTAL PERMIT FEE / / , , Q Authorized Si BtUre: This permit application expires if a permit Is not obtal . within 1: : gn ! � days after it has been accepted as comp) ' e. Print name: I Date: • Fee methodology set by Tri- County Building Industry Service Board 1: \ Building \Permits\MEC- Permitppp.doc 03/07/12 4404617T(I1 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information - Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and - • $3.07 for each additional $100.00 or fraction thereof, to and including • $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including _ $50,000.00. .. • $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. .i . I:\Building\Permits\MEC- PermitApp.doc 03/07/12 2 OFFICE COPY = V AUG 02 2012 EnSTIN6 ETRRAN� / y , • iY11J5 r T • i r 480.2 WALUMONIIMENT , ��� p ., . - " :i�3i. • - - __- --�_ �!. ■ `° _ , B Sc; + - _ . S . o aas ' BELO — r 7 rt �. ' f' n le � ' ` s ING TRE / ,.�� 17121111,L,;;:.:.,,:....:1 S Li j p I ; oSI• CONTAOLf :l �,, . . ci) + •` 1 STREET TREE(2' CALIPER -20' 0.C.) • TRIDENT MAPLE DE :v : PLAN 1806:`: :::;:`: _ (� 4 ; � NORTHERN RED OAK -.ELM URST A ERICA — '� I •::: I ' WALL MAIN ' L0012 ;:`: ::::: : : : > : :: :::: : 1 t - •'EGON WHITE OAK ' ' :�: FF 482•:• .. W I A O I io LOT 1:� ........... . N 2 . — + ; • • GA ;::A: I ... ............................... ...... ................... 1 6' 4' J N to .. �1/ TALL kr) a : R y.TO � 7 , L ANDS C . isv': A i. , ► � ; WALL p�ERTY LINE I • r , : •....• -Y3: ■ •7T AT . AY MASONRY coLu — ) . • ,� ttz r : - E A _I I lit ,i • •,,-... • . C l�/ . \` . _ �s - i ° .41 =�L4 ,i _, 4Yr CURB • 68.• 477 1 ,' _1 `, 7 ?ore I SW CAFFELL LANE 1 DRAM 08 -16 -10 SI4G SITE PLAN REVISED 08 -21 -10 514G STREET TREE Contractor is responsible to check BULL MOUNTAIN VIEW ESTATES site plans and notify designer of any NW 1!4 SECTION 10 T. 28., R.1W., W.M. errors or omissions prior to start of WASHINGTON COUNTY, OREGON construction. Also plans and LOT 1 specifications shcfl be approved by local of constru ru ct t ion . prior or 12047 SW CAFFELL LANE start of construction. 7086 SQ. FT. WEST HILLS SETBACK REQUIREMENTS: — .6-,,.,,,,, -- FRONT (HOUSE) 20' (FROM Pl.) e DEVELOPMENT, INC. FRONT (PORCH) 20' (FROM PL) FRONT (GARAGE) 20' (FROM Pi) 735 SW 158th Ave. STREET BIDE. l5' (FROM PL.) SCALE BIDE, 5' (FROM PL..) BEAVERTON, OR 97006 REAR YARD, 15' (FROM PL.) 1 "=20'