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Permit I q CITY OF T f ` MASTER PERMIT COMMUNITY DEVELOPMENT ©� Permit #: MST2012 -00040 • T I G A R. j) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/21/2012 Parcel: 1S125CAl2500 Jurisdiction: Tigard Site address: 7405 SW CEDARCREST ST Subdivision: 2008 -030 PARTITION PLAT Lot: 3 Project: North Cedarcrest Partition, Lot 3 Project Description: New SF. 3/17/12: DEMO CREDITS APPLIED FROM BUP2007 -00234 FOR SEWER, PARKS AND TDT FEES. 4/4/12, adding temporary electric to this permit. `* BUILDING Floor Areas Required Setbacks Re Stories: 2 Bedrooms: 5 First: 1459 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28.5 Bathrooms: 3 Second: 1473 sf Garage: 645 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2932 sf Value: $328,417.34 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 2 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell -Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 1 W/ Svc or Fdr: 0 Ea add, 500 sf: 6 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All 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 2932 Owner: Contractor: SOLSTICE CUSTOM HOMES SOLSTICE CUSTOM HOMES Required Items and Reports (Conditions) 5740 SW ARROW WOOD LN 5740 SW ARROWWOOD LN 1 Ersn Cntrl 503 - 681 -4444 PORTLAND, OR 97225 PORTLAND, OR 97225 PHONE: 503- 709 -2277 PHONE: 503- 709 -2277 FAX: 503 - 297 -0104 Total Fees: $8,727.90 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 a • =nc= 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. A ' NTION: Oregon la . _ • uires you to follow the rules adopted by the Oregon Utility No - - .11 enter. Those rules are set forth in OAR 952 -01 -0010 through OAR --z.. 001 -0090. •u may obtain a copy of the rules or direct questions to • • , by r'''''7,- 2.1987 or 1.800.332.2344. Iss e By: 1• --z.. � �/- Permittee Sr a nature: _r_ _�� / ..,_/_. _ Call 503.639.4175 by 7:00 a.m. for the next avails • i ce This permit card shall be kept in a conspicuous place on the Job site until corn ; : ton of the pro Oct. Approved plans are required on the job site at the time of ea nspection. CITY OF TIGARD MASTER PERMIT q 1 2 COMMUNITY DEVELOPMENT II Permit #: MST2012 00040 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/21/2012 Parcel: 1S125CAl2500 Jurisdiction: Tigard Site address: 7405 SW CEDARCREST ST Subdivision: 2008 -030 PARTITION PLAT Lot: 3 Project: North Cedarcrest Partition, Lot 3 Project Description: New SF. 3/17/12: DEMO CREDITS APPLIED FROM BUP2007 -00234 FOR SEWER, PARKS AND TDT FEES. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1459 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 28.5 Bathrooms: 3 Second: 1473 sf Garage: 645 sf Front: 20 Smoke Dwelling Units. 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2932 sf Value: $328,417.34 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 2 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: Y 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: 5 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: 6 201 -400 amp: 0 201 -400 amp: 0 WIG 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 +ampNolt: 0 ELECTRICAL • RESTRICTED ENERGY SF Residential Audio 8 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 2932 Owner: Contractor: _ SOLSTICE CUSTOM HOMES SOLSTICE CUSTOM HOMES Required Items and Reports (Conditions) 5740 SW ARROW WOOD LN 5740 SWARROWWOOD LN 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97225 PORTLAND, OR 97225 PHONE: 503- 709 -2277 PHONE: 503- 709 -2277 FAX: 503- 297 -0104 Total Fees: $8,661.42 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 - - • = ce 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' NTION: • • ion I.w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 1010 through OA • • 2 -0 , 1 -' 0. You may obtain a copy of the rules or direct questions to OUNC by callin. 13.232.1987 or 1.800.332.2344. Issues By: , I Permittee Signature: / NJ / 1 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. r . Building Permit Application �,dc.) Residential OC �j FOR OFFICE USE ONLY City of Tigard 1 0` Dateed ,] �%' Permit No.: 40 / — ill q 13125 SW Hall Blvd., Tigard, OR 97223 f � C r. Plan Revie — ih NI Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Y . G O : .... • • I' I G n li a Inspection Line: 503.639.4175 0Y Date Date/B Ready a y: _- ® See Page 2 for Internet: www.tigard or.gov O ` N �� Notified/Method: ,.4� r�xj Supplemental Information 8��v Spa 1.. Go ,t'rl, c1 —' TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling El Commercial /industrial Valuation: '32e ?S- i`7 ❑ Accessory building ❑ Multi - family Number of bedrooms: r5" ❑ Master builder El Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 7405 SW Cedarcrest St New dwelling area: 2932 square feet City /State /ZIP: Portland, OR 97223 Garage /carport area: 645 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 2ze square feet I k1.. Cross street/directions to job site; 74` and Cedarcrest Deck area: square feet 11459' '� i n l (`�Q , - / 6- li opex 1S rf. 8 AP oo7 - ( Other structure area: 71quare feet 2 � , e REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Partition Plat 2008 -030 I Lot no.: Permit fees* are based on the value of the work performed. r Tax map /parcel no.: 3 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. New detached single family home consisting of 2,932 square feet. Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: LWD, LLC dba Solstice Custom Homes Type of construction: Address: 5740 SW Arrow Wood Ln Occupancy groups: City /State /ZIP: Portland, OR 97225 Existing: Phone: (503)709 -2277 Fax: (503)297 -0104 New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer lo/ee schedule) Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: LWD, LLC dba Solstice Custom Homes Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 5740 SW Arrow Wood Ln Solar Installation Specialty Code checklist. Permit Fee (includes plan review City /State /ZIP: Portland, OR 972253 and administrative fees): $180.00 Phone: (503) 709 -2277 / Fax: (503) 297 -0104 State surcharge (12% of permit fee): $21.60 CCB lie.: 193633 iti(o it) 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: Alan DeHarpport Date: Feb 29, 2012 * Fee methodology set by Tri- County Building Industry Service Board. l: \Building \Permits \BUP- RESPermitApp.doc 02/ 24/2011 440 4613T(11/02 /COM/WEB) I. , Electrical Permit Application FOR OFFICE USE ONLY City of Tigard R ECEIVE D Received . Date/B : 1:=111 EMI 1111 ° 13125 SW Hall Blvd., Tigard, OR 97223 q - Plpian Review • Phone: 503.718.2439 Fax: 503.598.1960 l 6' 2012 Date/B : _ Other Permit: TI G A R D Inspection Line: 503.639 Date Ready /By: Janis. 1 65 See Page 2 for Internet: www.tigard or.gov Li' c � Notified/Method: Supplemental Information TYPE OF WORD (IAN 1 stOI� PLAN REVIEW ® New construction ❑ Addition /alte 'rat replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or .1011 SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 "I -3", Job no.: I Job site address: 7405 SW Cedarcrest St IOOIiP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Portland, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 1 Project name: ❑ Service or feeder.600 amps or more. 11 FEE SCHEDULE Cross street/directions to job site: 74' and Cedarcrest Description I Qty. I Fee. I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Partition Plat 2008 -030 Lot no.: 1,000 sq. ft. or less I 168.54 168.54 4 Ea. add'I 500 sq. ft. or portion , 33.92 - 2 3/ a..l Tax map /parcel no.: 3 Limited energy, residential 75.00 7540 2 DESCRIPTION OF WORK (with above sq. II.) Limited energy, multi - family 75.00 2 New detached single family home consisting of 2932 square feet. residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less I 100.70 100.70 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 - Name: LWD, LLC dba Solstice Custom Homes 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 5740 SW Arrow Wood Ln Over 1,000 amps or volts 552.26 2 City/State/ZIP: Portland, OR 97225 Temporary services or feeders installation, alteration, and /or y relocation Phone: (503)709 - 2277 Fax: (503)297 -0104 200 amps or less I 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 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 extension, cr panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: 5i4 jV\ L J -S 0 (i1/431 J B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Each or mular City /State/ZIP: dwelling, service e and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: ' Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Business name: Whiskey Hill Electric panel, alteration, or extension. Paget 2 Each additional inspection over allowable in any of the abov Address: 12600 Whiskey Hill Road NE Additional inspection (I hr min) 66.25/ hr , Investigation (I hr min) 66.25/ hr City/State /ZIP: Hubbard, OR 97032 Industrial plant (I hr min) 78.18/ hr Phone: (503) 9 8 1 - 4 6 4 0 Zeetrical PBX: (Spy) 4 13 1 pections for which no fee is 90.00/ hr specifically listed ('h hr min) CCB Lic.: 1(gaq� Lic.: Cato t/ Suprv. Lic,:y(0;1S ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: o Subtotal: 44-1 ,t' Plan review (25 /o of permit fee): Print name: Cyan' Oa 1 C3101 N S Date: 3 - IS - 1 a- State surcharge (12% of permit fee): Pi 3 , G.,- TOTAL PERMIT FEE: 51r s - t 1 Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:V 3uildingWermits \ELC- PermimApp.doc 07/01/10 440.46t5T(I1105 /COM/WEB 4 • Mechanical Permit Application us, ONLY of Tigard �j� PermitNo.:' % I . - W o e7 q 13125 SW Hall Blvd., Tigard, OR 97223 y r - Plan Review It. Pho 503 F®c: 503.598 6 ���� Date/By: Other Permit "I 1 G A R D Insptxtlon Line: 503.639 11��' ,• R I i ,, R y/B rods El See Page 2 for Internet www.ngard or.gov 4p' � �G? � ? :. ed/Method: Supplements/ Information .. .. ,, c +�:a'e -�I: r. , .-..: ;,<;:. ::. �., x,��ti�- _ ,ir' g �ag�•_ �. : =if lr•:Fi'' =f i n ,�' ,. .. .r , ,_ . t ..� f -t :�:� >,';, :: i. - , - ' { ?: , p ,. t -_, • 4. „,,LT .i! ,, • i!?v 7 n�•a , ...,.: _......... T,'!lil� ,�d r•' .•.r:.. r r� .. .: , ,z,.,hjh „-r �,,, ,:- .�- I•,r,;_�j ''� :... .. a ..: .. . . YISFi.... l'I�35� Mechanical permit fees' are based on the value of the work ® New construction ❑ Addition/alteration/r . . -•.• eat performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, and profit f ,..,, ' ?i +:� M.'�rt i tip-..--4 � a r :r•. �4(s 1 ,.. ;,. :. :, t, ., t 0 t�. II' :i` %F31,�_, '.,.r, <Ei : .�.:i;:,S a:.c�l =•i �N, -h�,1 +c n(�,.,,x., .r� _ �4'Al ;�:�,.,..:���r`T� � .:.... � :.:. ; ��' ....... :3t!_r' �.. . . ( ��RPl��'•, r�SLE'11�S�F1�18St,.�i�;rl.,. � ® 1- 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 I .,',t,l.. lru. .� ., � , i .. ._. , •�:r , ° { :r�!i c� Heating/cooling: ih1fF iii �1.. i . i t 11'":i it I i , -.�1..,�' ,IT :14.0, 4. ; .?•••1 ���r : >' QB S1 ,E RM 11A ..... , w .ID, • .4C -. ., .. 0, IN,2 ; •Irnl,.r r. = !':r1 - 1 _.. _ Air conditio Job site address: 7405 SW Cedarcrest (requires rite plan showing placement) 1 46.75 46.75 Furnace 100,000 BTU (ducts/vents) 1 , 46.75 46.75 City/State/ZIP: Portland, OR 97223 - Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: Heat pump (requites site plan showing placement) 61.06 Cross street/directions to job site: SW 74 and Cedarcrest Duct work 23.32 . Hydronic hot water system _ 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in- wall, in -duct, suspended, etc. 46.75 Subdivision: Partition Plat 2008 -030 I.ot no.: • Floe/vent for any of above 2332 Other. 23.32 Tax map/parcel no.: 3 Other fuel appliances: yY !i_ f ^t�,,4C1.17 ?Tl��1y 1 •y.L;1:31kjid - - 7 Ti �; i rF ?it . " , L'• - �.`i�j15�. I -� i INN.: !�. t 2 2332 46.64 aiit h ?T �'9 ;f� !iT r.'l.94.n't!fi? ,? �I��;2.:::!`.�i^,.�,�i-h`)OE.in t.RK' F ,_ rl, '-1':a r5 •• +hEbs� .l g1,1, f Ir, Water heater �.: S _'..Il si. si` -.... _ . ..... _.A.•n _�...::1... �aa�i cfr.C.:... -•n c1 -.:_.. �,.. r +.f �,�h._.4. New detached single family home consisting of 2932 square feet. vent for FFllee ue v t:� for 1 • 3339 33.39 water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 2332 .., ";I,_ ;...._.. •i_L...,:: l�� ,� r_.,.,; _ _::,ia�t;,�;=ilrts ` -- Chimney/liner/flue/vent '} t'r >t ,. ..,._:: O &O E.7a ;R c r;vy^i::JS; , :: •T E ... r liP ,• = •}.'1 11, t -iq ,��cJxl��R_. PFBR,. ai�J n� i1iF11 r....... , . �f i r , 1? .....t =,_� 23.32 ,. Other Name: LWD, LLC dba Solstice Custom Homes Environmental exhaust and ventilation: Address: 5740 SW Arrow Wood Ln Range hood/other kitchen - equipment 1 3339 33.39 • City/State/ZIP: Portland, OR 97225 Clothes dryer exhaust 1 33.39 33.39 Single -duct exhaust (bathrooms, Phone: (503)709-2277 Fax: ( 503) 297 -0104 toilet compact oetlts, utility moms) 5 23.32 116.60 I`�', ; � I!:'t�� Yte,ii± yl ' *P S � ..' "jf ass =','' ,;%:u, �" i �•,'�, i'`' j6 "i ij pl A+/'!�r.04000,1 afb'•�paii f. /Attie/unwise= fans 2332 �bj �r1a:t:p7i'Il�at. -. n,. �..."' :1M!.*.;,`,.�1•.,1y,1�rn�..�.,J :�,1�E.�.. { t^�t..H..r �I.... .:.,,�, ,n�,�.'.141'F���`?....,,,. �1.a�1:.... = Attie , Business name: S , rGV\ E A-S Dud N &---j Other 2332 Fuel piping: Contact name: $14.15 for first four, S4.03 for each additional Address: Furnace, etc. 1 14,15 Gas heat pump City /State/ZIP: Wan/suspendedhmit beater Phone: ( ) I Fax: : ( ) Water heater * NiO3 Fireplace I _ E-mail: Range I elk- ay ry t i'.y�:.F��yy1. Yt_cID,y�� .� w, � - 'P�?i 1 G t "' '{ �'tt+'ir �I: , Ip ,1 y =ykti, �,isl:.�l4i)' Barbecue i c1{Y'E ;u I 1 ,,�I `I :r',�1' : . II I r t', >ry. I_e ity �'• `� �•�5't `I'3"?`:si^s:4I c:,'+ x -s.. t;it. 6 �!k':=_..� I�s��1 a� I�Ssh. tid;4 tlil6__ tx t�: E�+4 t?+.:sl.�i.�;,... }:...: -. 1= �rt Business name: Jacobs Heating & Cooling Clothes dryer (gas) ' Other. Address: 4474 SE Mllwaulde �}� •g ,Ii a�`� ! l 0 ' fir ''' : ' 1 ,;,;�.2,j1'::a;; i e!c�b'�3 �jjiE3'� 7 t4 �� �! d`�.ce`ii nc n. 1 itfl?:: «: City/State/ZIP: Portland, OR 7202 • Subtotal '?,75. al Phone: (503) 234 -7331 Fax: (503) 8139257 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 15iy( State surcharge (12% of permit fee) 4 , 0 I /i . TOTAL PERMIT FE - 2-2.. 1 C 1 This permit application expires Ira permit is not obtained within 180 Authorized si store + days after it has been accepted as complete. I Print name: +n 4 A- l Q Date: e 3 - ) 5--' ° Fee methodology set by T1i.ceunly Building Industry Service Board LABuad'ing/Petmits C-PcrmilApp.doe 09/09/10 440-4617T(1 1/02JCOMIWBB) ~Plunfbing Permit Application Building Fixtures Date/By: VD FOR OFFICE USE ONLY 3 City of Tigard CEV Received M � Date/By: Permit No.: / l ST yryoz. - ct)cp{d II v 13125 SW Hall Blvd., Tigard, OR 9 Pla Review "O` C Phone: 503.718.2439 Fax: 503.598.19Cti0 R 16 201 Other Permit No.: �1 TI G A R D Inspection Line: 503.639.4175 p` RD Date Ready/By: hats ® See Page 2 for Internet: www.tigard or.gov �F'CIGA � N Notified/Method: Supplemental Information TYPE OF WORICt D ?InDtvi Sl FEE* SCHEDULE ® New construction moution _ 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 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 500.32 ❑ 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: Job site address: 7405 SW Cedarcrest St. Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City/State /ZIP: Portland, OR 97223 - Footing drain (no. linear ft.: 70) 1 Page 2 50.03 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: SW 74 and Cedarcrest Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) 0 Page 2 Storm sewer (no. linear ft.: 50) 1 Page 2 62.54 Water service (no. linear ft.: DJ 1 Page 2 62.54 Subdivision: Partition Plat 2008 -030 I Lot no.: Fixture or item: Tax map /parcel no.: 3 Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: LWD, LLC dba Solstice Custom Homes Fixture /sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 5740 SW Arrow Wood Ln Garbage disposal 1 25.02 25.02 City/State /ZIP: Portland, OR 97225 Hose bib 2 25.02 50.04 Phone: (503)709 -2277 Fax: (503)297 -0104 Ice maker 1 12.51 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 5 f } (y) E Pr 5 0 t,�l \.l &C._ Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 7 25.02 175.14 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan 3 12.51 37.53 E -mail: Urinal 25.02 Water closet 3 25.02 75.06 CONTRACTOR Water heater 2 37.52 75.04 Business name: The Mullen Company Water piping/DWV 56.29 Address: 1601A River Road Other: 25.02 City/State /ZIP: Hillsboro, OR 123 Subtotal '5C.'C ..3._ Phone: (503) 640-4482 Fax: (503) 640-4483 Minimum permit fee: $72.50 Plan review (25% of permit fee) 7 CCB Lic.: 092689 Plumbing Lic. no.: 34 -260PB State surcharge (12% of permit fee) job Q Authorized signature: TOTAL PERMIT FEE'a , 3 6 Print name: Ray Mullen Date: 3 -15 -12 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. • 1:\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB) ;1 e ° Building Division Development Code Provision Review T I G A R D Residential Projects Building Permit No: / 1 Q I ) J / CWS Service Provider Letter Received: Yes ❑ No ❑ N/A l — � Routed Plans: / Original Plan Submittal Date: 1j /A 0.7 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items alon eft only if approved. Planning Review (contact ( i t G I L v at 503 -718- 2 Y5 or ri S h .c @ tigard- or. Land Use Case No. MLPLo07'OUoe5 Name 6 i.a.{@ cis r Pa r Pt holo B' zoning 0 Y•5 111- Front 2.0 Rear 1 S Side 5 Street Side t$ Gara e 2b C,3 Maximum Building Height 3- Actual Building Height A. 8 7z !d isual Clearance asements ' I Sensitive Lands Type: 1`t I(4 Notes: Original Plan: Approved ❑ Not Approved ❑ Date: 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: S Notes: Original Plan: Approved■0 Not Approved ❑ Date: �.3 i /2 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) treet Trees Of Protected Trees Notes: • Original Plan: Approved It - _ Not Approved ❑ Date: 3///!a Revision 1: Approved ❑ Not owed ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ! o A • • Date Routed to Building: • Page 2 of 2 • RECEIVED Impervious surfaces FEB 2 9 2012 square.ft. location -4) SITE PLAN 768 driveway CITY OF TIGARD 200 porch BUILDING DIVISION = A ce.- '.0 v.� a v�oi d e 5 2340 roof I _ D i . 0 - 91 ra� �� f �� (C' S 7550 Lot square footage! • I. _ _ _ S 89 "21 E _ 1. 44% Lot coverage 76.30' ,, 1a-I� I I (,- ESTI I T 1 0 - � `'�: -r 1 -�� I v N 17' -3'II 1 PORCH 1 Ir / 1 4 ` I 1 I EL =275.8' I I ENGLISH) I {•' -0' HAi .a 4 it .L �,I Z ti p ° i MAIN FLOOR �P�� o w . I" I EL. =276.0' r) I o p Q 4? N _ I C 1— o ` 1 7 N. GJIRAGE ! � ' ' I ' 1 '1 F CA / 1 Et.:274.75 ' 16F ' r I �� // 1 L•i1 a . . . u ��i= i_ CONC. / � , Connect to existing sanitary sewer DRIVEWAY za . 13500 P.S.I.I $ ' / Q PP - 10 in T z.-. ,r I e f a V p`1. I°' ha ' } N 89 W .1Z A l, / *C0'.0 s., v . � S , S 56.21' / phone /cable. _ _ _ _ _ _ _ • -- • 11111 r-____1} PGE __ • Tree protection fencing shall be installed at the dripline _ of protected trees as shown on this tree protection plan P 6 Existing water meter to remain. • drawing. The location of tree protection fencing shall be inspected and verified in the field prior to construction. • dw O 41 1 - T,' SW CEDAR CREST STREET SURFACE DRAINAGE DRAINS TO EXISTING DITCH Morgan VHolen � £ TO REMAIN ISA Certified Arborist, PN - 6145A -- -- - Pe 4- 9r 1rp 412. CA-4 CNN re VI G 1 6 1 . / \ � ISA Certified Tree Risk Assessor, No. 449 Contact: (971) 409 -9354 � , 0 s Dv. C0v1} -►i1 Ane,et % For Walter H. Knapp & Associates, LLC SCALE 1" 2 0 ' - 0 " Ell CLUDVIG ALAN LIAB FOR TIC YASCORD DE MOF T ASCT SOCIATES.HE TOPOP IS OGR NOT ■ BUILD CITY OF TIGARD 22141 A ,....„„0"0 APHY IIffORN AT10N TO V R IF IS Y AL THE L $rt SOL E RC . OF THE A REPLAT OF A PORTION OF LOT 10, W ANY FILL PLACED ON THE SITE AND NOTIFY THE TRACT 1, BOULEVARD HEIGHTS OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS. PARCEL 3 COLLECTION ALAN unecoan IEmw ASSOCIATES. 140. BY: SOLSTICE CUSTOM HOMES ' e.., vueev N. ., ( 7,550 50. FT.) Oo] /lt ��0. F.F f]f -0�3i ip .. n Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM ALA hi DE14AAPPorz -T I, 3DLS7ICO Cu 57oM N-o>le , am the general contractor or the owner- builder at the following address: Site Address: 79 .Su> GEDA/•'. -r ST City: TC, P+R -D Permit #: MST 2- 01 t- O t) 0 4 0 Subdivision/Lot #: PAW -Tr7o6/ pe_A- AOU S- 030 /P N ". 7 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: V- Date: C Z Genera Contractor or Owner -Butt er j/ I:\BuildingTorm\RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: ()la— .90 d 96 Jurisdiction: 716 Site Address: 15105 5t.() C — PA -te. cite - sr Subdivision/Lot #: and/or • Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: I 7 Date: 7 --1) - 17-- Owner /General Contractor /Authorize g Print Name: At 4-p( DEI -ELI R.?pouf So LS Tic E CL'ts I-4-0/Arc. 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. I:\Building\Fonns\RES- HighEfficiencyLighting.doc 07/01/08 If STREET TREE RD CER TIFICA TIO N I, / k 4 I , owner/ agent for 5ot- 57'/.E Ctt STawc /,Lo S (PLEASE PRINT) (PERMIT HOLDER) do hereby certi6 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.. flit 0 - b o 0 0 SI'I E ADDRESS: 7 905 Sw CEpA cIES '( 5 ?. SUBDIVISION: LOT #: 3 SIGNATURE: DA'1 E: "7 -- l 7 --12_- (OWNER/ GE RECEIVED & r-� ! VERIFIED BY' -�� DAM: " 17 — 1 a OF TIGARD) Tree location verified per approved site plan. 1: \ Building \ Forms \StreetTreeCertificate 04 /01/2011