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Permit N e CITY OF TIGARD MASTER PERMIT ' y . COMMUNITY DEVELOPMENT Permit #: MST2012 -00029 T I GA.R.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/14/2012 Parcel: 2S 109AB 15000 Jurisdiction: Tigard Site address: 13348 SW ALPINE VIEW DR Subdivision: ALPINE VIEW Lot: 31 Project: Alpine View, Lot 31 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 3 First: 938 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28 Bathrooms: 3 Second: 1070 sf Garage: 409 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2008 sf Value: $222,582.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =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: 3 201 -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 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 2008 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports (Conditions) 12013 NE 99TH ST #1650 2103 NE 129TH ST 1 Ersn Cntrl 503 681 - 4444 VANCOUVER, WA 98682 VANCOUVER, WA 98686 PHONE: PHONE: 360 - 258 -7900 FAX: 360 - 258 -7901 Total Fees: $17,174.32 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 •' • t ' R 952 -' • -0090. You may obtain a copy of the rules or direct questions to OUNC by calli 3.232.1987 or 1.800.332.?344. Issued By ' ��n LL'....1L 1 Permittee Signature: _ # ' ' .14 / ', _ _ / 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. • • Building Permit Application Residential , �3 FOR OFFICE USE ONLY Received City of Ti and ( Permit No.: _ `J g 1 1� \ Date/B • . !f2 it .., ..• rI� • II . q 13125 SW Hall Blvd., Tigard,OR 97223' ` \ Plan Review i 1i�� Pho ne: 503.718.2439 Fax: 503.598.1960 �.. Date/B : ,r /��/ r 7........ Other Permit:'s ,'t� 3 TIGARD Inspection Line: 503.639.4175 `�� � Date Read :y: , Juris: ® See Page 2 for Internet: www.tigard -or.gov C ,� „ ® �� . o 1 th d:,_ g /� . ' / -- lip Supplemental Informi+tion a ¢ �1 e 47 _ • • • , •' T YPE OF WORK ` t� S,51-,‘,..,-* � REQUIRED DATA:.•1- AND 2- FAMILY DWELLING ' fees* of erfor Ii Permit ees are based on the value o the work med. ew construction ❑ Demolition P Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • ' CATEGORY OF CONSTRUCTION . work indicated on this application. • d 2- family dwelling ❑ Commercial /industrial Valuation: $ Z2�e, an ❑ Accessory building ❑ Multi- family Number of bedrooms: • El builder El Number of bathrooms 2. • '. • . JOB SITE INFORMATION AND LOCATION. , Total number of floors: 2_ Job site address: /33 --35/. 6 , ,j , A bpi N.6 ,f t New dwelling area: 2 square feet City /State /ZIP: - d ,„ 9 7z Z Garage /carport area: q o square feet Suite/bldg. /apt. no.: Project name:a 7 1.41 ¢, C/`/ ∎Lk.I' Covered porch area l co 2.... square feet U070 Cross street/directions to job site: 63 . ?Ai . Deck area: ' square feet 9 Other structure area: 2447 square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Q��� �, t�� Lot no.: 3/ 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 equipment, materials, labor, overhead, and the profit for the • - DESCRIPTION, OF WORK . • ' ` ' work indicated on this application. Valuation: $ Existing building area square feet New building area: square feet a OWNER - ' ,❑ TENANT . ' Number of stories: • Name:Lg-A, — 7 4I4Ae/1" ,1 - Type of construction: , Address: /D /t.5 /29 g.bz__€,G Occupancy groups: City /State /ZIP: (.444 / L `-c7 �, 9. e gg Existing: • & -z.59— Phone: •%�— '7947 Fax: ("e) ®/ New: • • .•APPLICANT • . ❑ CONTACT PERSON ' - : - • BUILDING PERMIT FEES* . ! - (Please refer to fee schedule) Business name:�e ve _ N 4 1.4 . ki'S I t — e � 2 _,"„ ) .4e . , , Structural plan review fee (or deposit): Contact name: deedee.c, wiede:4..4,7 A2 FLS plan review fee (if applicable): Address: - /4 3 /Oa / 9 cri, 6 7zzze Total fees due upon application: / • Cit /State /ZIP: /�1.il3Lt /,4_ U....9-�, •g� f� Phone: (W71) sz 5.g _ Fax: : ( ) Amount received: ��v 3� Zs- - . 7q E- mail: � ��� 1Gki�l • /7p j=, f= ����A)44.4734- / �� � � Commercial and residential prescriptive installation o 'PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTR f roof -top mounted Photovoltaic Solar Panel System. Business name� � Ott W „LA-2,c,- Submit tw, '• sets of roof plan with connection - details and fire dep.. - • • cess, al. = ith the 2010 Oregon Address: 2d / � 3 f( / .q t j�/2 ' Solar lnsta r. • Specially Code c - _ list. City /State /ZIP: �� QQ� it Fee i udes .: review �4 ' 7 / C/ � � � �� i � and a. •• . rative fees): $180.00 Phone: ( _ Z5 _ -9 'Oo Fax: (""%j Z J � - mei rate roe (12% of pc cc): $21.60 CCB tic.: / GJ J f Q •�7 Total fee due upon application: $201.60 Authorized signature: fi ( � `�� This permit application expires if a permit is not obtained (� 7r( J within 180 days after it has been accepted as complete. * Print name: �`/, e �, G v� Date: Fee methodology set by Tri -County Building Industry 4L „v� Service Board I:\ Building \Permits \BUP- RESPermitApp.doc / 24/2011 440- 4613T(l1/02 /COM/WEB) • 1 t#: ‘\ Electrical Permit Applica jO 0 * FOR OFFICE USE ONLY City of Tigard ° ^.�� a Date/ n 6' 5 to. er_ Pernik No.: ify j �?' 1 I3125 SW Hall Blvd., Tigard.° 9722 \ ' �© Plan Review /��,��s 3!.�� 12 Phone: 503.718.2439 Fax: 503.598.19'60 6‘c\ CO ,� Date/By: Other Permit: 4, i(t/rp� / TI G A R D t: www.tigard Line: 503.639.4175 �(`� Date Ready/By: Suds: See Page 2 for Internet: P_ ` �-` • Notified/Method: I Supplemental Information TYPE OF IYORI S PLAN REVIEW . New construction ❑ Addition/alteration/replacement Please check all that apply (subinit2 of plans afi tems checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. . ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. i CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. _ less to ground, or exceeds 14,000 ❑ Commercial -use agricultural X I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for oll oilier installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ fire pump. ❑ Installation of 75 KVA cr ❑Emergency system. larger separately derived system. • JOB SITE INFORMATION AND LOCAT ❑ Addition of new motor load of ❑ "A", 'V, "1 -2 ", "1 -3 ", Job no.: Job site address: (� 50 0 �-1 1001 -IP or more. occupancy. I ; L - 6 6: * ❑Six ormoro residential units. ID Recreational vehicle parks. City/State/ZIP: ❑Hcalilt•cnre facilities. ❑ Supply voltage for more than / / � l 9 ❑l iazardous locations. 600 volts nominal. Suite/bldg. /apt.no.: Project name: 0 Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I On. I Pee. 1 Total I • New residential single- or multi- family dwelling unit. Bug A'b /. AV Includes attached garage. - Subdivision: . r Zf 4AJ j ✓�' ) ' I Lot no.: /3 1,000 sq. ft. or less , 168.54 1 8 4 °r r I En. add'I 500 sq. R. or portion 33.92 i di .76 1 Tax map /parcel no.: I.imitcd energy, residential 75.00 �,� 2 DESCRIPTION OF WORK (with above sq. R.) � � • A n � ' / Limited energy, multi-family q. 75.00 2 6r s / / - 7 / ' ' "!' ` residential above dential feeders bve sq. R.) _ Services or feeders Installation, niterallon, and/or relocation 200 amps or less 100.70 2 1g1 PROPERTY OWNER I ❑ TENANT 201 amps to 400 maps 133.56 2 / ,�' // I , � �it 401 amps to 600 amps 200.34 2 Nante' L &/(/ /v, /VO.P7'r/Y /VEJ/ l /l/ a • 601 amps to 1,000 snips 301.04 2 Address: #7/#. 9 NE /4/4' f4' '. Sf e cke `Gi Over 1,000 amps or volts 552.26 2 J Temporary services or feeders installation, altera tion, and/or City /State/ZIP: e 9 u v 4/ f & ,,' e , relocation Phone: Yi-0 ) Q - 79 pp I Fax: (9)-267,- 79/'/ 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on properly that I own which is not 401 amps l0 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or ex tension, L1c r panel Owner signature: . . _ Date: A. Fee for branch circuits with xi APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: 4 .c D<di4y' B. Fee for e or circuits without service or fecdcr fee, first 56.18 2 Contact name: & fPv, ,JALr K /y -e- branch circuit ,�'[ I Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not Included) • . Each manufactured or modular City / State/ZIP: dwell dwelling, service and/or feede 67'84 2 Phone: ( ) I Fax: • ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: /.'d r /Pr..41,!Anfa /7 //?1/1!74', L M' Sign lighting 2 ,,�`// Si noroutliueli uin 67.84 ONTRACTOR Signal circuit(s) or limited-energy panel, alteration, or extension. • l'age 2 2 Business name: / ./ 44e dki.. Wri .1 r /Pefric Each additional inspection over allowable In nay of the above Address: 6-6/g SA /3c'14 �- e) Additional inspection (I hr min) 66.25/ hr r. 41� D� Investigation ipant 1 hr min) 78.8 / hr City /State/ZIP: "o Industrial plant (I hrmin) 78.118/ hr Phone: ( ) , ` f-5,2.71-- �� 3 ) 7 I Fax: - /g,z nspe j Icti for which no fee is 7812 , 90.00/ Inn spceifieallylisted(;Itrmin) CCB Lie.: /G2 j 48 Electrical Lie.: 3 -33.26 I Suprv. Lie.: 359,5 ELECTRICAL PERNI1T FEES Suprv. Electrician signature, required: 0.-z•v -w%• I • � Subtotal: W Plan review (25% of permit fee): . Print name: _pe /g i Date: Stale surcharge (12%of permit fee): ' I , • L 6,L70 ):4_ , /J� TOTAL PERMIT FEE: ' to 7 e Authorized signature: (/ /� This permit application expires if a permit is not abated within 180 ' _ X /�6 r days after It has been accepted as complete. n Print name: ( 7 jie;6/ /lam [ Date: ..-1/44a/A • Number of inspections allowed per permit. 1: WuaeGospermiuOELC.Pe,mitApp.doe 07/01/10 440.461ST(11/0S/CO \ t/wEO Mechanical Permit Application ® FOR OFFICE USE ONLY City Tigard 4 �V Received s A Permit N o.: }.� .GIOGa n 131 SW Hall Blvd., Tigard, OR 1/43 " � 'L DateBy:� /� /(5 �O /,'1 C 0\ Plan Review Date/By: Ot her Permit: Phone: 503.71 5.2439 Fax: 5 • . �1460� �1, 5q2�0/., - 3 T 1 G A R D Inspection Line: 503.639.4175 R s ` Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard- or.gov !�� 'C). VO�(7 Notified/Method: Supplemental Information TYPE OF WO13(V c * ∎"' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ew construction ID Addition/alterati /re placement 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* I-tand 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 Job site address: /3 34,/g !' . J • ( I ,e ( . _ (requires site plan showing placement) _ 46.75 1" /9/z.. 7z. 2 7 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: ,2E/ 4'Je theca Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: /� /��� �/�� ,/ , Duct work L I 23.32 `� 6�c 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: ��� jti /a .a�� Lot no.: a/ Flue /vent for any of above F I L Other: I 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater I 23.32 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 ROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name "1.- 4 �,,, , a »� °"7 07 15& 1.0-12/Z.-4 Zr � Environmental exhaust and ventilation: Address: * � lD " A) �' / ` /2...„9 1 -//L Range hood/other kitchen r equipment 33.39 City /State /ZIP: Q�g.G 6Lze. lJtPti r � 94 --.Z, Clothes dryer exhaust I 33.39 / Single -duct exhaust (bathrooms, Phone: ('� Z �/? Fax: ( . 5 - �G / toilet compartments, utility rooms) 23.32 I P LI i CANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other: 23.32 Q�Ivt�i/L N Z`IYL � /'i 1�9. �J�I�j/ Fuel piping: Contact name: (l k C i/_,,, i A f $14.15 for first four; $4.03 for each additional Furnace, etc. ( /4 ,I `j Address:.Zio3 1 /Zq , t Be1,4 Gas heat pump City/State /ZIP: v a!/0 6C9zu ,L //Jct., 9S-6 g,6 Wall /suspended/unit heater Phone: (' •2_6-g---7,9296 Fax: : ( 3‘13/ ) Z.C Z-79:r0 Water heater // Fireplace E -mail: ��L ide- 1417hCeJ1, Pet' /) `a/ /A.tt �L • E.& rvt Range I CONTRA( R Barbecue A �� Clothes dryer (gas) Business name: �/Z, ( � v IP p 6 t -P Other: Address: / 3 / 5-0 6 , ti° azze a .:2 /2t / 7") Q J� MECHANICAL PERMIT FEES* City/State /ZIP: t0/Z � eit.9 r ( 3;?o 77// / ,p Q7Dei.� Subtotal .ci / Minimum permit fee ($90.00) Phone: (C-J, 5, -2 Z ZQ Fax: 600 55-7_ O/ / Plan review (25% of permit fee) CCB lic.: - `1 7...6 2 3 . State surcharge (12% of permit fee) 3C, . TOTAL PERMIT FEE 3'37. Authorized signature: This permit application expires if a permit is not obtained within 180 ,, / days after it has been accepted as complete. Print name: �� • � AL /V/6f fl I Date:dy �� • 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) 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. • rl I: Building \Permits\MEC- PermitApp.doc _09/09/10 2 • Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Date/By I' . /g. PennitNotAroz a C n 13125 SW Hall Blvd., Tigard, OR �� Plan Review Other Permit N n ,, Phone: 503.718.2439 Fax: 503.5 �. D ate/By: TIGARD ,P O /2 - r-�,V Inspection Line: 503.639.4175 Page 2 for Date Ready/By: Y Ju rist 53 See g Internet: www.tigard or.gov �, -K• .` Notified/Method: Supplemental Information TYPE OF WORK cu„. t NJ� f FEE* SCHEDULE ® w construction ❑ Dtpb`i'it :I • 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 OF CONSTRUCTION SFR (1) bath 312.70 - and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 j o 32.. ❑ Accessory g ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 1 �1 � . I1 �^ Drywell, leach line, or trench drain 18.76 City/State /ZIP: _ / %/o .472 sit ' 7 Z 2 � Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project �name: cj ' / J& l i�u. Manufactured home utilities 50.03 Cross streetldirections to job site: /� �� ma- n 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:�^�� Q,. //�`, Lot no.: ' 3 / . Fixture or item: Tax map /parcel n'``o.:: �� Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name �g ��O4. oa - t=1---6q-••e--- • Fixture /sewer cap 25.02 "�'� Floor drain/floor sink/hub 25.02 Address: 2 /0?" AS, cz. /7q ' ems ' & Garbage disposal 25.02 City/State /ZIP: a�xc �f g�p �,� Hose bib 25.02 Phone: ( Z 62 - • 7900, Fax: () 2 ••-• 77 / Ice maker 12.51 IZJ.ACP�ICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name:1 Q �a� /` �,, 7 aje _` J _ - Medical gas (value: $ ) Page 2 Contact name: az. „z. L/Z. y� L� . 1N.. Roof 12.51 Roof drain (commercial) 12.51 Address: 210, it) , £ , /z . Sink/basin/lavatory 25.02 City/State /ZIP:liA k giet g D w 76. Solar units (potable water) 62.54 Phone: ( c) 55? • - 1 9 0 0 l (3 Z -. 5 - 7 9 0 Tub /shower /shower pan 12.51 E -mail: &a€1i: P� • rii/tAge hi - 0 /-elu QK • `' • wk. Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: p � / Dc, S �� . , / � jam, Water piping/DWV 56.29 /"" Address: Q • 2 9 -7 Other: 25.02 City /State /ZIP: / t t'O.0 0' 7 /06 Subtotal 1:5:19. l I , Minimum permit fee: $72.50 Phone: (60.3) 3 _ 5, Fax: ( ? Z 4 esso CCB Lic.: /Q Z 5-3 Plumbing Lic. no.: 4� 3 �� ( Plan review (25% of permit fee) State surcharge (12% of permit fee) l9lJ, -0 - Authorized signature: /� TOTAL PERMIT FEE 540. Print name: . ame: � ` Date: , �p This permit application expires if a permit is not obtained within 180 days _ , . / A A . o� �� after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU- PennitApp.doc 10 /01/09 440- 4616T(l0/07JCOM/WEB) L Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities • Qtr. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52. 2,001 to 3,600 • $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to Other Inspections or Fees Q ty. Fee (ea) Total and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) - each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge -1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: • Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to • accurately report fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2' , and Bath: Tub /Shower greater, except systems designed and stamped by licensed - Jacuzzi/Whirlpool engineer. Car Wash: - Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918- 780 -0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. - Domestic ❑ Any complex structure as defined in OAR918 780 - 0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: - 2" -3 " , Isometric or Riser Diagram • ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage - Domestic non -food that meet the qualifications above. Disposal: - Domestic food related - Commercial food related • - Industrial food related Ice Mach/Refrig. Drains Comments regarding fixture work: Oil Separator (Gas Station) • Rec. Vehicle Dump Station Shower: -Gang -Stall - Sink: -LavBar non -food related - Bradley ' - Com/Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes fees assessed for the sewer increase be paid before the Water Extractor ncrease must p Water Closet Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF- PermitApp.doc 08/04/2011 2 V 6 i 4--4 g/ III m ° Building Division i. c, R �� Development Code Provision Review Residential Projects Building Permit No: 17 / ? — g? CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: / Original Plan Submittal Date:. c'(a 3( /. 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 (contact Skl-1 0-1 at 503 - 718 - o n d or. ov Land Use Case Noprith .eDa— Oa+^Name A'■+ i A 0 Er Zoning JJ�v , 0'Setbacks: L , Front Rear 3 1 de S / Street Side / Garage E � Maximum Building Height Actual Building Height la' Visual Clearance B Easements V 1 Pu6" Er Sensitive Lands Type: Notes: Original Plan: Approved 1a Not Approved ❑ Date: _ r1/ 7" 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: I Notes: Original Plan: Approved Not Approved ❑ Date: 2 /- 2.. Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City borist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) 4::crees Notes: • Original Plan: Approved I Not Approved ❑ Date: °" a ` 6 "a 0 1a 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 Applican Revision 2: Date Sent to Appli . nt Okay to Issue Permit: Yes Jr. N .r❑ • Date Routed to Building: 4 • . • Page 2 of 2 LOT COVERAGE R EC EiVED , LOT AREA: 4743 SQ. FT. FEB 2 3 201 I lk BUILDING COVERAGE: VII 1522 S62. FT. = 32% � CI T Y o T IGARD IMPERVIOUS AREA: 429 SQ. FT. w BUILDING DI C ARD c F- cn 28.05' w . — • — - -- Q I __ --1 > ri I ' I �, 22.00' r,_ 1 1 11 I LOT 31 I aT FENCETh II 1Opr) iL_I - -_, j 1 z a DI_ E5.i 1 SEPBA I REES S r I �, ' PAXTOIv M_VERDE j 0 I I 01 O E 1 1 ' cl J GARAGE I x C a 10 i 1 ► O ,wt— -- _ 1.. 1 c II I I. C 1 _C _ _ —�� 4 1ON 1 __ J I Z w b r • ' DRIVE 1 1 I i� Q 1i II ..—I— L. s 1�. 27,26' 4 - VW,I GREEN I - - 1 TeL- S.W. ALPINE VIEW DI?, 77...,...1-1 SUNTEL HOME DESIGN, INC. IS NOT LEGAL DESCRIPTION NIWY LIABLE FOR THE ACCURACY OF THE LOT 31— ALPINE VIEW '7 """° TOPOGRAPHY INFORMATION. IT IS S.W. ALPINE VIEW DR. THE � _� Ra: pun BUILD TO RESPONSIBILITY FY SOLE ALL SITE THE TIGARD, OR CONDITIONS, INCLUDING ANY FILL LEGEND ma ' s — . PLACED ON THE SITE, AND NFORM A OWNERS OF ANY POTENTIAL RELD . Ai, 7 DOGWOOD STREET TREE . P MODIRCATIONS. A N01fl T DESIGN /4 5 i ao I . - ozra Oregon Residential Specialty Code 8318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, ah n51 ' I Leiv M ' , am the general contractor or the owner- builder at the following addre : M Site Address: (3' 2 v e-71/ ( we l v City: Gti/e/ Permit #: 7 ,,., t Z --' ,C c) Z9 Subdivision/Lot #: /alp yie /,�-e and/or (� I w l " Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. ' Signature: Date: KWI General Contractor or Owner - Builder I: \ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 A4 5TH is - c - ? Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: j (Z..-7_-__,T3-e_,9 Jurisdiction: Cam/ nA,,/..._, Site Address: / 2 3it 5 iv ' Al ? Ne... UkGv, �',), 4 Subdivision/Lot #: _ J�,� J 6,4,3 l 1 ad/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: 4 /1A Date: CC /74(.....--- Owner /General Contractor /Authorized Agent m etkoi5 Print Name: eik S 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\Forms RES- HighEfficiencyLighting.doc 07/01/08 /116o /a - 61 9 STREET TREE CERTIFICATION owner/ agent for J )40-144e , (PLEASE P (PERMIT HOLDER) do hereby certifil that the folkwineocation meets City of Tigard land use and; development standards for street tree- installation andis consistent th the app ed - site plan. L ME ADDRESS: 1k� V�1 A-1 - - -V)- I 5 SUBDIVISION: �J ti �6/ LOT #: 3 P SIGNATURE. / _ , - �� DA1 E: I (OWNE _ GE 'w ) RE CEIVED VERIFIED BY DATE: S CI- ( OF TIGARD) I Tree location verified per ap. oved site plan. I:\ Building \Forms \StreetTreeCertificate 07/01/2010