Permit n CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit #: MST2012 -00105
Date Issued: 06/12/2012
T [GA.RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109AB15400
Jurisdiction: Tigard
Site address: 13367 SW OUZEL LN
Subdivision: ALPINE VIEW Lot: 35
Project: Alpine View, Lot 29
Project Description: New SF
BUILDING
Floor Areas Rewired Setbacks Required
Stones: 2 Bedrooms: 4 First: 962 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1260 sf Garage: 399 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2222 sf Value: $247,672.24 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain brain: 1 Urinals: 0
Lavatories: 4 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
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
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 8, Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecom asin
Other: N Other Description: P g
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R -3 2222
Owner. Contractor:
DR HORTON INC- PORTLAND D R HORTON INC PORTLAND Required Items and Reports (Conditions)
ATTN MELISSA TRUNNELL 4380 SW MACADAM AVE SUITE 100 1 Ersn Cntrl 503 -681 -4444
4380 SW MACADAM STE 100 PORTLAND, OR 97239
PORTLAND, OR 97239
PHONE: 503-222-4151 PHONE: 503 - 222 -4151
FAX: 503- 222 -1304
Total Fees: $17,672.75
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 -00 ugh OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B . i Permittee Signature: /c
Call 503.639.4176 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 RECEIVED •
Residential FOR OFFICE USE or ix
City of Tigard MAY 17 2012 Date/By s/7 /Z Ina; -ate) Permit No.:
• 13125 SW Hall Blvd., Tigard, OR 97223 P lan Review, 1 .�q p
Phone: 503.718.2439 Fax: 503.598.1960CJTY OF TIGARD Date/By: U/ I �/ �' f I
. Other P ermu S c/ /Sp' Q 00 9.5
T I G A R D BUILDING DIVISION Notified/Me
Inspection Line: 503.639.4175 Date Ready/By: j 7 runs: El See Page 2 for
Internet: www.ti ard -or. ov g g �Z IL Supplemental information
lift
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
(23 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 ❑ Commercial /industrial Valuation: $ 2-41 672- '24
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: 2-
}� 1 " New dwelling area:
Job site address: / 334 7 � w (/ L g L L 1 i g sq uare feet
I
City /State/ZIP: TIGARD, OR 97224 Garage /carport area: 3 square feet
Suite/bldg. /apt. no.: I Project name: ALPINE VIEW Covered porch area: 62_ square feet 1240)
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: square feet - ri Ca.-
Other structure area: ac square feet Zt
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ALPINE VIEW I Lot no.:Zq' 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.
NEW SINGLE FAMILY RESIDENCE Valuation: Si
Existing building area: square feet
New building area: square feet
CO PROPERTY OWNER I ❑ TENANT Number of stories:
Name: D.R. HORTON INC. - PORTLAND Type of construction:
Address: 4380 SW MACADAM AVE, SUITE 100 Occupancy groups:
City /State/ZIP: PORTLAND, OR 97239 Existing:
Phone: (503)222 - 4151 • Fax: (503)222 - 1304 New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: D.R. HORTON INC. - PORTLAND (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: GARY CULP
FLS plan review fee (if applicable):
Address: SAME
Total fees due upon application:
City /State /ZIP:
Amount received: i ?55 *�
Phone: ( ) Fax:: ( )
E -mail: gaculp @drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: D.R. HORTON INC. Submit t • sets of roof plan with connection details
and fire depart .. access, along with the 21 I e • :on
Address: SAME Solar Installation Sp. ' • Code c • • - . st.
City / State/Z1P: Permit Fee (includ• : ! • review $180.00
a • .. ministrative •
Phone: ( ) I 'ax: ( ) Stat - . rcharge (12% of permit fee): ` $21.60
CCB lic.: 130859 J\
Total fee due upon application: $201.60
Authorized signature: T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY C / I Date: Z * Fee methodology set by Tri- County Building Industry
— Service Board.
l:\ Building \Permits \BUP- RESPennitApp.doc 02/24/2011 440- 4 1 /02 /COM /WEB)
• Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
III City of Tigard Received
: Permit No.:
Y 13 125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
C Phone: 503.718.2439 Fax: 503.598.1960
24- Hour Inspection Line: 503.639.4175 ❑Electrical 0 Plumbing 0 Mechanical
I' I L.A It D Internet: www.tigard- or.gov
❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ , ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc. 1
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformancc to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam /joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore! on and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ _ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ 0 -
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ , ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ . ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
Mar 28 1`2 05:03p Birchfield Heating RECEIVED 541- 928 -7278 p.2
Mechanical Permit Application MAY or-rlc_'►•: tiSE p l.\
MAY 17 2012 Received
City of Tigard Date/By: Permit No.
: ' Fax: SW Hall Blvd., Tigard, OR 97223 CITY OF TIGARD
Other Ran Review � ��� ...cow
Phone: 503.718.2439 F 503.598.1 er Permit:
Inspection Line: 503.639.4175 B UILDING DIVISIO ' B Y:
T I G A R D Date Ready /By: Allis: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
■ 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, end profit
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For syedalluformdioause dseeklrst
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea Total
•
JOB SITE INFORMATION AM) LOCATION Headn);/eodirq;:
_ Air conditioning
Job site address: f J - 6 1, ) Dch.. . L (requires site plan showing placement) 46.75
City/State/ZIP: TIGARD, OR 97224 _ Furnace 100,000 BTU(dtaxs/uenn) I 46.75
Furnace 100,000+ BTU (ducsrvenb) 54.91
Suite/bldg./apt. no.: J Project. name: ALPINE VIEW Heat pump •.
(requires site plan showing placement) , 61.06
Cross street'directions to job site: SW ALPINE VIEW AND SW ALPINE CREST WAY Duct work 1 23.32
Hydronic hot water system , 2332
Residential boiler (radiator or
' hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 46.75
Subdivision: ALPINE VIEW 1 Lot no.: Flue/vent for any of above 1 2332
Other. 2332
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater I 23.32
NEW SINGLE FAMILY RESIDENCE Gas filrplacdirlsert I 3339 •
Flue vent for water heater or gas
fireplace 1 23.32
Log lighter (gam) 23.32
Wood/pellet stove - .. y 33.39
Wood fireplace/insert - 23.32
® PROPERTY OWNER I ❑ T1 NANT Chimney/liaer /fluelvent • , 23.32
Other: _ 23.32
Name: D.R. HORTON INC. - PORTLAND Environmental exhaust and ventilation:
Address: 4380 SW MACADAM AVE, SUITE 100 Range hood/otherlatchen
equipment 1 33.39
City /State/ZIP: PORTLAND, OR 97239 Clothes dryer exhaust , 1 33.39
Single -duct exhaust (bathrooms,
Phone: (503)222-4151 Fax (503)222 -1304
toilet compartments, utility rooms) 5 23.32
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Other - Business name: D.R. HORTON INC. - PORTLAND 23.32
Fuel piping:
Contact name: GARY C U LP $14.15 for first fbu n 54.03 for each additional
Address: SAME Furnace, etc. 1
• Gas heat pump •
City/State2IP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater • 1
' - Fireplace 1
E -mail: gaculp @drhorton.com Range
CONTRACTOR Barbecue '
Business name: BIRCHFIELD HEATING AND AIR CONDITIONING INC. Clothes dryer (gas)
Other:
Address: 1490 INDUSTRIAL WAY
MECHANICAL PERMIT FEES'
City/Stale /ZIP: ALBANY, OR 97322 Subtotal
Phone: (541) 926 -1374 I Fax: (541) 926 -7278 Minimum permit Ex ($90.00)
Plan review (25 %ofpermitfee)
CCB tic.: 88938 State surcharge (12% of permit fee)
) t� t TOTAL PERMIT FEE
►/I , 1 4. 511/6-11.4. 1 'Ibis permit application expires if s permit is not obtained within NO Authorized signatuDe' �r II , 1 drys after it has been accepted as complete.
FI
Print name: JOHN BIRCHELD Date: / 2,..../ • Fee methodology set by Tn-County Building Industry Service Board
•
1\ Butding 1PermlMEGPamitAep.doc / 12 440461 (11/02/CO.N.'We)
Plumbing Permit Application
Building Fixtures r or ncr use o NLr
N . City of Tigard MAY 17 2012 D Permit N VlSTad /0 - 00/aS
a 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review
C :: Phone: 503.718.2439 Fax: 503.598.eFry OF TIGARD Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Judo: RI See Page 2 for
Internet: wwv.tigard- or.gov Notified/Method: Supplemental Information
- _:_ - _:TXI!E::OF_WORI� - - - - °s= r -sue= z_FEE'SCIlEDULE` == _.- ::__::.
® New construction ❑ Demolition 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)
____- _ •_ . _ SFR (1) bath 31230
_ - __ CA PEGORYOR CONSTRUCTION;_ ::: _ ;. _: : r =sue
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
❑ Accessory building SFR (3) bath 1 50032
❑ Multi- family Each additional bath/kitchen 25.02
❑ Master builder ❑ Other. Fire sprinkler ( sq. R) Page 2
_s^ __ : -= JOB SITE= 7NT,ORMATION: AND_I0CATION_= = =V Site utilities:
Job site address .53�j 6-b Cl uL Z LL L 0 -~ ' = Catch basin or area drain 18.76 I
City/State/ZIP: TIGARD, OR 97224 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear IL: J Page 2
Suite/bldg. /apL no.: I Project name: ALPINE VIEW Manufactured home utilities 50.03
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST Manholes 18.76
WAY Rain drain connector 18.76
Sanitary sewer (no. linear IL: 1 Page 2
Storm sewer (no. linear ft.: I Page 2
Water service (no. linear ft.: _) I ( Page 2 I
Subdivision: ALPINE VIEW I Lot no.: Fixture or item:
Tax map/parcel no.: . BOckDtrw preventer 31.27
_ ` =DE fifite N_OF NUR16 _=' = - - ° - = Backwater valve 12.51
NEW SINGLE FAMILY RESIDENTIAL Clothes washer 1 25.02
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®fROP RTY'O\ViVER- '= ' ;= -_!_ L1-_1K/x Expansion tank 12.51
Name: D.R. HORTON INC. - PORTLAND Fixture/sewer cap 25.02
Address: 7380 SW MACADAM AVE, SUITE 100 Floor drain/floor sinklhub 25.02
Garbage disposal 1 25.02
City/Slate/ZiP: PORTLAND, OR 97139 Hose bib 2 25.02
Phone: (503)222 -4151 Fax: (503)222 -1304 Ice maker 1 12.51
__❑=i1TPLICANT= =_i = ®'CONTAMPERS0N Interceptor /grease trap 25.02
Business name: D.R. HORTON INC. - PORTLAND Medical gas (value: $ ) Page 2
Contact name: GARY CULP Primer 12.51
Roof drain (commercial) 12.51
Address: SAME Sink/basinliavatory 5 25.02
City/State/ZIP: Solar units (potable water) 62.54
Phone: ( ) I Fax: : ( ) Tub /shower /shower pan 3 12.51
E -mail: gacnlp ®drhorton.com Urinal 25.02
3 25.02
...
- - = Water heater 1 37.52
Business name: EK PLUMBING Water PP t in li/D WV 5629
Address: PO BOX 1898 Other. 25.02
City /State/ZIP: BATTLEGROUND, WA 98604 Subtotal
Phone: (360) 687 -3604 Fax: (360) 687-6473 Minimum permit fee: $72.50
CCB Lic. :129363 Plumbing Lic. no.: 37430PB
Plan review (25 % of permit fee)
State surcharge (12% of permit fee)
Authorized signature: ///71 TOTAL PERMIT FEE
Print name: MICHAEL EK I Date: 7/61 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 - Coanty Building Industry Service Board.
t :HruIidinatPumbePLMU- PmnitAppdoe 10/01/59 440- 616T(10102/COMUW ®)
. Electrical Permit ApplicatiM,ECEIVED FOR OFFICE uSE ONLY
City of Tigard i 7
I f 13125 Hall Blvd., Tigard, OR 972 I Plan Review
2439 Fax: 503 1 20 2 � ' Pad No. /`7S j oVA2 -,00/(25 Other Permit:
' a • Phone: 503.718.2439
• Inspection �� •
T I G A RD P Line: 503.639.4175 CITY OF TIG ARD Ready/By: ,leis See Page 2 for
Internet: www.tigard - or.gov , LNG DIVISI Notified/Method: Supplemental Information
x' : _ ... y : . • e it — -=° •.. _... _, _ _
. i:e *' - , �.s�a�• `- i5-.'- - = :y�:�- F� _`i;�+� ...,�: ...i'����i -a:, � �� �r �1 n- S' i ' ' "'" ��• , j s•.�i ` .• �����ti�::.'r
IN New construction 0 Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition El Other:
-�
_ where the available fault current .0 Marinas and boatyards.
T z. ' :•::: t- a ' " �G �` 8.1 k '' � ` =` -= t " '�4: :57.? exceeds 10,000 amps at 150 volts or 13 Floating buildings.
J s iry 4 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.
0 Multi- family 0 Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or
a� . rr N a :; a 1 - ; u • `c T - °'s i .. i � t "g - . iii 8 Addition system. larger separately derived system.
• b,..„,;._. � •. u 5- •c' ' � J "_ - * `::i4 = enc of new motor load of ❑ °A• "E", • -2••, •`I -3 ^,
Job no.: Job site address: ` S5(p7 4) p l t. X ) pow or more. occupancy
• _ -' S �-r�1 , ppix or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 J Health-care facilities. ❑ Supply voltage for more than
no.: ❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt.
I Project name: ALPINE VIEW ❑ Service or feeder 600 amps or more.
•r x- 75 : rte n i3 ` e =1=' I
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST -
Dnviptioo Qtr. Fr• Total •
WAY New residential single- or multi- family dwelling unit.
_ Includes attached garage.
Subdivision: ALPINE VIEW I Lot no.: 71? 1,000 sq. ft. or less I 168.54 4
Tax map/parcel no.' Ea. add'I 500 sq. ft. or portion 3 33.92 1
nom,. �;, °- -r , • - ... Limited energy, residential •
F I. y �;::^_•: . -• a ; ;a a : a fi . �-=* - . , 75.00 2
_• . .: :; "'' v r 7 •l .' ., 2 r; : S1:- . - } �'' 3 '•' (with above sq. ft.)
Limited energy, multi - family 75.00 2
NEW SINGLE FAMILY RESIDENCE residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
--4 E , ; - �e :; = - : - I:�r' p .° 201 amps to 40 amps 2
..: �� -: �ae� 't _ ^� f.� = a��- �. zr�s' Ps a►►W 133.56
Name: D.R. HORTON INC. - PORTLAND 401 amps to 600 amps 20034 2 •
601 amps to 1,000 amps 301.04 2
Address: 4380 S.W. MACADAM, SUITE 100 Over 1,000 amps or volts 552.26 2
City/ State/ZIP: PORTLAND, OR 97239 Temporary services or feeders installation, alteration, and/or
• relocation
Phone: (503)222-4151 I Fax: (503)222 -1304 200 amps or less 5936 1 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, per panel
Owner signature: Date:
,. _ A. Fee for branch circuits with
F °'-'� _ rte- :,._ = i.:.,:C�'�. T -a.0 s sF .
:' e y a. - . : - a - above service or fender fee,
r: r��t� ,v -� - F�. yl�NAA ' . � 7.42 2
each branch circuit
Business name: D.R. HORTON INC. - PORTLAND • B. Fee for branch circuits without .
service or feeder fee, First 56.18 2
Contact name: GARY CULP branch circuit
Each add'I branch circuit 7.42 2
Address: SAME •
Miscellaneous (service or feeder not Included)
City/State/ZIP: Each manufactured or modular 67.84 2
• dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
: E -mail: gaculp ®drhorton.com
Pump or irrigation circle 67.84 2
:; ^,w � Sign or outline lighting • 67.84 • 2
- •. • 11- , M "a. + = �Cfk Signal circuit(s) or limited -energy •
. Business name: PRAIRIE ELECTRIC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6000 NE 88 ST • Additional inspection (1 hr min) 66.25/hr
City/State/ZIP: VANCOUVER, WA 98665 Investigation (l hr min) 66 25/ hr
Industrial plant (1 hr min) 78.18/ hr
• Phone: (360) 573 - 2750 I Fax: (360) 576 - 7422 Inspections for which no fee is 90.00/ hr
- ifrcall listed K hr min
CCB Lic.: 60178 I Electrical Lic.: 37 -491C Suprv. Lic.: 3562S • w " ' : :4_ 7M 0c., a t ''° ' ,- • - ,:
1 Subtotal:
. Suprv. Electrician signature, required: ' /4 Plan review 25°' of
` ( permit fee):
• Print name: BILL HALBERG . '` at e: State surcharge (l2% of pemiit fee):
TOTAL PERMIT FEE:
Authorized signature , r,�' Tats
permit application expires if a permit is not obtained within 180
- Print name: MATT' HALBERG • 7 D A VM' days after it has been accepted as complete. '
• Number of inspections allowed per permit.
•
. I: tBuilding \Permits1EiC- permitppp.doe 07/01/10 .4104615Th I/05/COMIWEB •
III e ° Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: � oia — a) /0-s
CWS Service Provider Letter Received: Yes ❑ No ❑ N /A>a
Routed Plans: ,S / '7 /.7–d Z c
Original Plan Submittal Date:
1st Revision Submittal Date: 5 /A ❑ 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 1. , my, if approved. oil
Planning Review (contact :� ; . ... A �
; at 503 - 718 - i or @tigard- or.gov)
Land Use Case o • / /Name 4-91;u1 vi e.4)
Erioning
Setbacks: •
-
Front ./ S Rear / c Side 1 G ..-- Street Side / 0 __, . Garage C)
Lff Maximum Building Height 3 C Actual Building Height 2J
L95 isual Clearance
i
fe
Easements j ��f� C%��L / !' � L9 Sensitive Lands Type: Al if ✓' ✓ • I , f ,, � I� Notes: ��,�,Q�
Original Plan: Approved V Not Appr. ed G Date: Z- / 2-- i Revision 1: Approved ' Not Approved ❑ Date: Al _'.% V IP
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov)
zi Actual Slope: I v %
Notes:
Original Plan: Approved )23 Not Approved ❑ Date: CA../ 7 1
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2 -
i r City borist Review (contact Todd Prager at 503-718-2700 or todd@tigard-or.gov)
Street Trees
10 Protected Trees
Notes:
Original Plan: Approved 0/ Not Approved 0 Date:
Revision 1: Approved 0 Not Approved 0 Date:
Revision 2: Approved 0 Not Approved 0 Date:
Permit Coordinator Review (contact Albert Shields at 503-718-2426 or albert@tigard-or.gov)
0 Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
r• ,:.%.,
Revision 2: Date to Applicaii*':--
t
Okay to Issue Permit Yes N.Q.:6 ; y,'5,7 47 .\15.:"C'..c*,,c''. --: ..4r,sP;;:,.:`.\`‘,::'
yg(
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Date Routed to Building: ......, -i 4
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Page 2 of 2
!
t- 1TPo i _DoIO5
1- FrEGOVED
ALPINE VIEW
LOT 29 5 Aq 12
MAY 2 9 2012 CITY OF TIGARD, OR - .
CITY OF TIGARD DISCLAIMER: CITY /JURISDICTION HAS AUTHORITY
BUILDING DIVISION TO CHANGE SITE PLAN IF NEEDED. •
EROSION CONTROL FRONT LANDSCAPE
HAY AND SILT FENCE IF NEEDED
I
01 LOT COVERAGE
- 01 LOT AREA = 4634 SF
J BLDG FOOTPRINT = 1391 SF
O DOUG. FIR - TYP. 70 COVERAGE = 30%
I o9° 6 �.;
Y k _ 53.00' _%. _
4 - � // I N_ I \ `S94 EXISTING
a ? 61 SETBACK REQUIREMENTS
1 �
U SILT FENCE - TYP. -- _
FRONT (TO BLDG WALL/PORCH) 15'
TA
SIDE YARD (ST.) 10'
Q \ s = 5 92 SIDE YARD 5'
o I GARAGE -243:-,2414
° �_ _ REAR 15'
N
00 35.00 12.00
N CO 390
M
J CO
o.
�� LOT 29
_, 4,634 SQ.FT. - 5d3 \ zorl
U
w .t l �
_ ES 7
�
0
— SD
1 SS�
1 / - --,.,8
— G ► 6
m_ -: >� I 25.00' / 28.00' I/
a c. S8
i / '
o SW OUZEL LANE v'
Co
CD (2 I cTI
' PACIFIC DOGWOOD
2 i STREET TREE - TYP.
() '
. 0 I�' 1
a> t;
0 0
• ..... le
m
SCALE
C / 0 10 20
. a
a
N tcJIA
1 INCH = 20 FEET
O I/ /
D ADDRESS: 13367 SW OUZEL W D.R. Horton Homes
j PLAN : 3520
0 SCALE 1 ■ 20' 4386 SW. Macadam Avenue, Suite 102
DAZE : 5/29/12 Portland Oregon
PHONE : 503.222.4151 FAX : 503.222.3717