Permit CITY OF TIGARD MASTER PERMIT
• -• COMMUNITY DEVELOPMENT Permit #: MST2012 -00106
T j G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14!2012
Parcel: 2S109AB15500
Jurisdiction: Tigard
Site address: 14157 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 36
Project: Alpine View, Lot 36
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 5 First: 1251 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 26 Bathrooms: 3 Second: 1321 sf Garage: 505 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2572 sf Value: $288,067.12 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs /Showers: 4 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
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 3
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: 5 201 -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
Ecompasing: Y
Other: N Other Description: p 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R - 3 2572
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: $18,457.12
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. ATTENT • . • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -* : ' through 0 - 9 ' 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by ca ' • : . • 32.1987 or 1.800.332.2344.
Issue • By: ��� i�� . _ Permittee Sign • re:
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 coin • : ion of the project.
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application P� �l
ResidentialvE FOR OFFICE USE ONLY
City of Tigard Received
I Permit No.:
• 13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 3 2012 Den /B : _ �, �Q��? • 11 11 .. Phone: 503.718.2439 Fax: 503.598.1960 Date ; a Other Permit.., v� -.Ow ,,
Inspection Line: 503.639.4175 Y OF TIGARD Date Rea ,"` eT
T I G A R D CITY OF D < . / reams 63 See Page 2 for
Internet: www.tigard- or.gov BUiLDINGDIVISI ®N Noti fd/Met y ' i i Supplemental Information
`%t► (/fit _, „.,_ / ��,
•
TYPE OF WORK REQUIRED DATA: 1 A ND 2 -FA �� i L DWELLING
® New construction ❑ Demolition Permit fees' are based on the value o' . e 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.
Valuation: S 2f'?
® I- and 2- family dwelling ❑ Commercial /industrial � +
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: 1q6---7 ,5 d`Nc r -. • ! j l' New dwelling area: 767Z square feet
City /State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet
'Suite/bldg. /apt. no.: [ Project name: ALPINE VIEW Covered porch area: 44 square feet i . 32)
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: square feet 1 Z./
Other structure area: a � 7 square feet 1
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ALPINE VIEW I Lot no.: -56 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: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ 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 ro 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:
Phone: ( ) I Fax:: ( ) Amount received: �7 ' e20
E -mail: gaculp @drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof- .. mounted Photo Voltaic Solar Panel Syste •.
Business name: D.R. HORTON INC. Submit two ' i is of roof plan with co • - on details
- and fire department . - - s, alon: ' the 2010 Oregon .
Address: SAME Solar Installation Special =••fe checklist.
City /State /ZIP: Permit Fee (i • • es plan r '-w $180.00
. • • administrative fees):
Phone: ( ) I Fax: ( ) State • • harge (12% of permit fee): $21.60
CCB lic.: 130859
( i / t ' )/(P fe e a $201.60
Authorized signature: This permit Total application due upon expires pplication: if a pe rmit is not obtained
wit hin 180 days after it has been accepted as complete.
Print name: GARY C P Date: / * Fee methodology set by Tri-County Building Industry
5 !f/ ! - I Service Board.
1:\ Building \Permits \BUP- RESPennitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
Perm
Plumbing it ApplicatiO t CEIVED
Building Fixtures { '-.:::..-:-•.....:"' FOR ormlcc oNt,Y
City of Tigard MAY 2 3 2012 Received' A /?- , a Pennit / 7 /�.- ao
f a 13125 SW Hall Blvd., Tigard, OR 97223 Review
�.�, '/
0 ,: Phone: 503.7182439 Fax: 503.598 Ott P erm i t No
Inspection Line: 503.639.4175 Y OF TIGARD Date/By ai)4 o/a - 04 4 96
TIGARD D ate Read lids: la See Page 2 for
Internet vmv.tigard BUILDI DIVISION Notifted/Melhod: Supplemental information
a.=-___-: .: : _ : _ _- = T: E >: OF_WO121C.� _.- _.- - :___- _:_:: - -.: ___s :<= FEE` =:SCIlEDU1;E= , ___t: _s
® New construction ❑ Demolition For special lifformariou use checklist
Description ' Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 R for each utility connection)
- _
-=- _ = = -- _ -- �s - _ _ - - SFR 1 bath 2
_ -_ `ia_: CATEG RY OF=. CONS JIGITO
_N ( = .. ' ; _J - ' ; =_- O 31 .70
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) both 437.78
SFR (3) bath 1 500.32 .
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other. Fire sprinkler ( sq. ft.) Page 2
= =_ _- -_JOB SITE .7NEORMATIONr AN1)_LOCATION:= == = __- Site utilities:
Job site address: 4� , / C : e ::e flchfl bruin or ( 11176
City/State/ZIP: TIGARD, OR 97224 Dll, leach , 16.76
Footing drain (no. linear IL: _) Page 2
Suite/bldg. /apt. 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 ft.: 1 Page 2
Storm sewer (no. linear ft: ) 1 Page 2
Water service (no. linear ft.: _) 1 Page 2
Subdivision: ALPINE VIEW I Lot no.3 Fixture or item:
Tax map/parcel no.: Backllt»v preventer 31.27
- - -- _ _ Backwater valve 12.51
= =--- _ _ --_ = :`= ESC OR=5VURk € -. -;- -` w
1: _=- _.... ___-:.- :...- _____.::..._. -_-- �:.:.- --- ., washer _. - _ _� ,.. - - - .- Clothes wash 1 25.02
NEW SINGLE FAMILY RESIDENTIAL
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
- P = O\VN - A- __=_ - S IIV _ _ y m� Expansion tank I 12.51
Name: D.R. HORTON INC. - PORTLAND Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 7380 SW MACADAM AVE, SUITE 100
Garbage disposal 1 25.02
City /State ZIP: PORTLAND, OR 97239 Hose bib 2 25.02
Phone: (503)222 -4151 Fax: (503)222 -1304 Ice maker 1 12.51
-_ _ ❑411- t AIYT -=__ -===' = =' ®''CONT -- --_ Interceptor /grease trap 25.02 -
Business name: D.R. HORTON 1NC. - PORTLAND Medical gas (value: $ _) Page 2
Contact name: GARY CULP Primer 12.51
- Roof drain (commercial) 12.51
Address: SAME Sink/basin/lavatory 5 25.02
City/State/ZIP: Solar units (potable water) 62.54
Phone: ( ) I Fax:: ( ) Tub/shower /shower pan 3 12.51
E -mail: gaculp @drborton.com Urinal 25.02
_ - _ ___ __ ° _ =- _ -_- _ _ _ Water closet 3 25.02
Water healer 1 37.52
Business name: EK PLUMBING Water piping/DWV 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 Lie.: 129363 Plumbing Lic. no.: 37 -430PB Plan review (25% of permit fix)
State surcharge (12% of permit fee)
Authorized signature: 7// /t TOTAL PERMIT FEE
I Print name: MICHAEL EK I Date: V41 2_1_ This permit application expires If a permit Is not obtained within 180 days
oiler it has been accepted as complete
'Fee methodology set by Tri-County Building Industry Service Board.
1: 111u11dineemiss \PLMU- PermiiApp.dec 10/01/09 440- 1616T(10102/COMrWEB)
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Mar 28 12 05:03p Birchfeld Heating 541- 928 -7278 p.2
Mechanical Permit Applica i't • CEIVED 1:014 OfFICI; USF 0\1.1
City f Tigard Received I Aernnt Yo. 11 b 1d 6
t o 13125 SW Hall Blvd., Tigard OR 97223 2 3 2012 Datr/ `����
`' n Phone: 503.718.2439 Fax 503.598.19 A Y • Plan Review Other Permit: 01,444 - ..... F
O
Inspection Line: 503.639.4175 Dd<Date/By: Per
TIGARD g CITY OF TI G�RD Irate Ready/By: Au is El See Page 2 for
Internet: www.ti aid -or. Nobaed/Metbod: SepplemoltalInformation
BUILD DIV ISION
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 1 SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For spedal kftbrowilon sew during.
❑ Multi - family ❑ Master builder ❑ Other: Description -, I Qty. I Ea j Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
y� / 4/, ,, Air conditioning
Job site address: /047 4) � e���� � (requires site plan showing placement) 46.75
City/Stale ZI P: TIGARD, OR 97224 `^ Furnace 100.000 BTU (ducts/vents) I 46.75
Furnace 100,0001- BTU (dumsrvenb) 54.91
Su ftalbldgfapL. no.: I Project name: ALPINE VIEW Heat pump
(requires site plan showinpplacentent) 61.06
Cross street'directions to job site: SW ALPINE VIEW AND SW ALPINE CREST WAY 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: ALPINE VIEW' I Lot no.:36, Flue/vent for any of above 2332
Other. 2332
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater I 23.32
NEW SINGLE FAMILY RESIDENCE Gas fentfor water I 33.39
Flue vent for water hemmer or gas
fireplace _ 23.32
Log lighter (gas) 23.32 - .
- Wood/pellet stove 33.39
Wood fireplace/insert , 23.32
•
® PROPERTY OWNER I _ ❑ TENANT Chimney/liter /Due/vent
2132
Other: 23.32
Name: D.R. HORTON INC. - PORTLAND Environmental exhaust and ventilation:
Address: 4380 SW MACADAM AVE, SUITE 100 - Range hood/other kitchen
• equipment 1 33.39
City/State/ZIP: PORTLAND, OR 97239 Clothes dryer exhaust 1 33.39
Phone: Fax 503 222 -1304 Single -duct exhaust (bathrooms,
Ph
(503)222-4151 { ) toilet compartments, utility rooms) 5 23.32
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
•
Business name: D.R. HORTON INC. - PORTLAND Other. 23.32
Fuel piping:
Contact name: GARY CULP $14.15 for first faun $4.03 for coda additional_
Address: SAME Furnace, etc. 1
- Gas heat pump
City/Statc21P: WalUsuspendedAmit 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 PER DTFEES*
City/Stale /ZIP: ALBANY, OR 97322 Subtotal
Phone: (547) 926 -1374 I Fax: (541) 926 -7278 Minimum permit The ($90.00)
Plan review (25% of permit fee)
CCB lie.: 889.38 State surcharge (12 %of permit foe) +
) l t TOTAL PERMIT FEE .I
Authorized signaittre �r II r 1 V(
rjx r^ �A / 1 {/Z iir i p 0 This permit application expires if a permit is net obtained within 180
__��//// days after it bas been accepted as complete.
I Print name: JOHN BLRCHFIELD Date: , - I • Pee methodology set by Tn-County Building Industry Service Board
L.1 awiding\Permi144EC- PermitApp.doc 03/07/12 61 (t 1/02/CQNIWPS)
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•
•
•
. Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ' `t`� PennitNo.: 61;2 d
a 13125 SW Hall Blvd, Tigard, OR 97223 RECEIVE I. °ate • f
Plan Review � `
G Phone: 503.718.2439 Fax: 503.598.1960 d Date/B : • Other Permit: AZ i / �J,I at0
TIGARD Inspection Line: 503.639 MAY 2 yBy' huts: • ® See Page 2 for
Internet: www.tigard- or.gov NotrCietilMethOd: .Supplemental Information
� ,�'∎:. - .-_„. - ..7r : ±71 ± . r: C _ 'y .:.4 _•'f' -- -n' Y ut -'- "- ' ' 1 , i- g - em .
5 - 1:r�F� - -� 1 , �,:i�, � - :. .�J7 �+i_a?.:' � '�_�.a4 �'- !£ - `.:. 'x. � 7pi'�. R. - l �• � .z��s '-- '� ».�'�.:.rt::�•13�- - '- •
®New construction ❑ Addition /alterat$ /1HE tDIVISION Please check all that apply (submit 2 sets of plans w /items checked below):
1:1 Demolition ❑ Other' ❑ Service or feeder 400 amps or more 0 Building over three stories.
�' 4---.F.--:.--- em o 7 - , z " t; � a = y where the available fault current .0 Marinas and boatyards.
- •' -. : -1 - 1 - e a ' rr r k . yam w T g buildi r exceeds 10,000 amps at 150 volts or 0 Floating ngs.
..:1- .r -. s-�: n
� • `: �i� r4 4'[a u a , S t a . less to ❑ Commercial -use agricultural
® Commercial/industrial
I. and 2- family dwelling ❑ Commercial/indu Accessory or exceeds
rY buildin g amps for all other installatioons. ns,
buildings.
❑ Multi- family ❑ Master builder Other: ❑ Fire pump. 0 Installation of 75 KVA or
❑
:�� n '
r a - . N a ; s is cry : au s � _ - 1:i-. - Emergency system. larger separately derived system.
� °._. -mo "':: o`r•��ff•� - ..� r _ n ar,s f:l' s ell t �- y1 L B F .' ai fi'+'.'. h `
" •;:. . a ��3:��tx-m;ign: > .,� t� ".�' ❑ Addition of new motor load of 0 `A ••E'•, ••1_2•, • ",
Job no.: Job site address:N/51 !) 40,06 — 10010 or more. occapaaey.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ALPINE VIEW ❑ Service or feeder 600 amps or more.
�. ,r : ` - sue = aui "tlt! R. - rF_= '>
Description Q
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST . Q ty. Ra, Tot ° " °'" ° T o t a l al •
WAS, New residential single- or multi- family dwelling unit. .
• Includes attached garage. .
Subdivision: ALPINE VIEW Lot no.: 1,000 sq. ft. or less _ 1 168.54 a
`� 1'' Ea. add' 1 500 sq. ft or portion :'5 33.92 1
Tax map/parcel no.: r „ Limited energy, residential
Le ''; a t � s� y -A 3s1y . . l - -- -y --�. i__ 75.00 2
• 11 7 — 5 — (with ebore sq R)
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
= - =, -u y E: ' +.' 4 mom- r ; 5 ''''" ° -rr•• .a s .i. -. '*,
.., `'. - 7 x , H �= ��� 5�„ � ?�„ =•:- �t°:' .. '-; �� 3" - " e.,. i •�` �.` 201 amps to 400 amps 133.56 2
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 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, per panel
Owner signature: Date: A. Fee for branch circuits with
'' _ _ ^�� R .,o - ms s .•.x -_- t -_. k7,-71-,._._•:,:;.:-.-=,-- •, above service or feeder fee
E' �, mi €s'S a� z `
r-
.,,.., _ r �T< ..� fi n-, - � ,d. r ; ) ,. - r:-..- „ 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'l branch circuit 7.42 2
Address: SAME • Miscellaneous (service or feeder not Included)
City/ State/ZIP: Each manufactured ormodular 67.84 2
. dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) • Reconnect only 67.84 2
E - mail: gaculp@drhorton.com or irrigation circle 67.84 2
- i f s�qr -• ,-+ -- „� -. ,-. _ -- •K•,- .T: - .. Sign or outline lighting • 67.84 • 2
i • ::rte _ t i - N - a• n• •;� :.. - =` `
- •• rn ' ""• ' • •_" • � }��= '��R� = =� �� � '•= � Signal c or limited .. .ter._;, r- --
. Business name: PRAIRIE ELECTRIC panel, alteration, or extension. _ Page 2 2
Each additional inspection over allowable in any of the abov
Address: 6000 NE 88 ST Additional inspection (1 hr min) 66.25/ hr
City/ State/ZIP: VANCOUVER, WA 98665 Investigation (1 hr min) 6625/ hr
Industrial plant (1 hr min) 78.18/ hr
• Phone: (360) 573 -2750 I Fax: (360) 576 -7422 Inspections for which no fee is
90.00/1v
ifical listed Yr hr min
CCB Lic.: 60178 Electrical Lic.: 37 -491C Suprv. Lic.: 3562S :« ;y; .. _�.t :f: P - i
l ( Subtotal:
Suprv. Electrician signature; required: t Plan review (25% of
permit fee):
Print name: BILL HALBERG 'r a ate: State surcharge (12% of permit fee):
• 7� _,, TOTAL PERMIT FEE: •
Authorized signature a " This permit application expires if a permit is pot obtained within 180
'Print name: MATT HALBERG • Date: days after it has been accepted as complete. •
�
[ ,2_ • N um b er of inspections allowed per permit.
. 1: 1Buitding1PermitslELC- PermiiApp.doe 07/01/10 - 440.4615T(11ro5/COMIWEe '
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IN ° Building Division
Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: H T O ( a 00 ( O`er
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A i(
Routed Plans:
Original Plan Submittal Date: 1
1st Revision Submittal Date: S 4 j•]� ❑ 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 at 503 -718 -.2 V10 or � @ti gard- or.gov)
La Use Case No.5 P lV Name / f #Lt yjl� 1
Zoning F P 1
Ef Setbacks:
Front 14 Rear i b Side 5 Street Side PO Garage Z t'
❑ ,Maximum Building Height 3 S / Actual Building,L3e r
[sual Clearance f
L9" Easements �
Er Sensitive Lands Type: Al/// L/ P Notes:
I1 A J/ V r ! ` / .
Original Plan: Approved ❑ Not Approved 21" Date: 0 745//Z.-- .
//Z
Revision 1: Approved Not Approved ❑ Date: V3101---
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov)
Z Actual Slope: lb
Notes:
Original Plan: Approved LY Not Approved ❑ Date:
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)
III Trees
Protected Trees
Notes:
•
Original Plan: Approved If( 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
Revision 2: Date Sent to Applicant ,
`‘? '';••
V
• • 1.
Okay to Issue, Permit Yes g No - ..•
Date Routed to Building: • • {
•
e
J
' • 4 -•1 , .
A t •
'b v •
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ALPINE VIE • "" 1 - CEIVED
LOT 36 ` , a9 0- .
CITY OF TIGARD, MAY 2 9 2012
DISCLAIMER: CITY /JURISDICTION HAS AUTHORITY CITY OF T :BARD
TO CHANGE SITE PLAN IF NEEDED. PO N ii'FR6fl0g�14 APE
HAY AND SILT FENCE IF NEEDED
LOT COVERAGE
LOT AREA = 4,607 SF
DOUG. FIR — TYP. BLDG FOOTPRINT = 1708 SF
COVERAGE = 37%
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I O ) 50.00' 4% 1
1 1 1 ` LOT 36 1
4,607 SQ.FT.
SILT FENCE — TYP.
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Dove SETBACK REQUIREMENTS
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FRONT (TO BLDG WALL/PORCH) 15'
o SIDE YARD (ST.) 10'
1 SIDE YARD 5'
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_ ? ' - GARAGE 20'
LOT 18 rn REAR 15'
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'STREET TREE — TYP.
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SW A _ L __ P __ I _ \ __ E ____ C _ 1" �'
SW ALPINE CREST WAY n ,
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0 ADDRESS: 14157 SW ALPINE CREST NAY D.R. Horton Homes
j PLAN : 3725 8
0 SCALE: r - 20' 4386 SW. Macadam Avenue, Suite 102
DATE : 4 -27 -12 Portland Oregon
PHONE : 503.222.4151 FAX : 503.222.3717
Oregon Residential Specialty Code 8318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
1, am the general contractor or the owner- builder
at the following address:
Site Address: / 4157 / ,
City:
Permit #: Q
Subdivision/Lot 4: I4 I
and/or
Map and Tax Lot 4:
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:
General ontract.r or Owner - Builder
1 : \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: /�A 2o( Z _ Jurisdictio ��
/V1 rjc�
Site Address: f 41= sou r n' F/ rte en04 �oty
Subdivision/Lot #: A'f l V /i / tor 3
b
and/or (,
Map and Tax Lot #:
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature: ( Date:
Own r General Contractor /Authorized Agent
Print Name:
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.
IABuildinglForms RES- HighEfficiencyLighting.doc 07/01/08
fk5120!Z"cbi 6
STREET TREE CERTIFICATION
I, P,„ D en,+r,S , Owner /Agent for
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard and Washington County
land use and development standards for street tree installation.
ADDRESS: / 7 �� kj (10 1na C C
SUBDIVISION: I (1141 LOT: 3
SIGNATURE: DATE:
(OWNVER /AGENT)
RECEIVED BY: DATE:
(CITY' OF TIGARD)
1: \Hwldiniff tans \titrcetTreeCernficate 01/19/07
I .