Permit CITY OF TIGARD MASTER PERMIT
a • • COMMUNITY DEVELOPMENT Permit #: MST2012 -00122
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2012
Parcel: 2S109AB14100
Jurisdiction: Tigard
Site address: 14297 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 22
Project: Alpine View, Lot 22
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 767 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 25 Bathrooms: 3 Second: 1437 sf Garage: 666 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2204 sf Value: $257,337.88 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 Cm /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 +ampNolt: 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 2204
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 - 639 -4175
4380 SW MACADAM STE 100 PORTLAND, OR 97239 2 geo tech report required prior
PORTLAND, OR 97239 to footing inspection
PHONE: 503 - 222 -4151 PHONE: 503 - 222 -4151
FAX: 503- 222 -1304
Total Fees: $17,741.48
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 suspen. - • for more the 180
days. A ENTION: .:gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules =r- •et forth in OAR
952-001-1110 t ough O • - 95 • . 06'0. You may obtain a copy of the rules or direct questions to OUNC by calling 503 1 • :7 : .800.332.23 4. I
Issued By: J / 7 - �g. 11 i . Permittee Signature: , _ .. / _ AA ,
Call 503.639.4175 by 7:00 a.m. for the next available Inspection "Pr V V
This permit card shall be kept In a conspicuous place on the Job site until completion of e project.
Approved plans are required on the job site at the time of each Inspection.
H
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard 31 2012 RDaecteiveyd t'/ , ff '/ Permit No.: H1124_10/
13125 SW Hall Blvd., Tigard, OR 97223 MN( Plan Revie , `
Phone: 503.718.2439 Fax: 503.598.1960 G . � ID Date /By: 'i i f , (2.... Other Permit: /1 .�/Q6j
'I I G A It I:) Inspection Line: 503.639.4175 CI'Y O i 14 Date Ready/B : / Juris. WI See Page 2 for
Internet www.tigard-or.gov ,n I GD Notified/Method: ( it �/� Supplemental Information
TYPE OF WORK REQUIRED BtATA: 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.
® I - and 2- family dwelling El Commercial/industrial Valuation: $ "2:5-7 7' 37. $ �
1:1 Accessory building El Multi-family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
Job site address: ' 74 071� I� If New dwelling area: =94 square feet
City /State /ZIP: TIGARD, OR 97224 Garage /carport area: :, square feet
Suite/bldg. /apt. no.: Project name: ALPINE VIEW Covered porch area: /05 square feet (s'7
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: square feet '70
Other structure area: zez square feet 2/5
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ALPINE VIEW I Lot no.: Ze� 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: $
Existing building area: square feet
New building area: square feet
® 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
City/State /ZIP: Total fees due upon application: 4
Phone: ( ) I Fax: : ( ) Amount received:
E -mail: gaculp @drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
•
Business name: D.R. HORTON INC. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: SAME Solar Installation Specialty Code checklist.
Permit Fee (includes plan review
City / State/ZIP: $180.00
and administrative fees):
Phone: ( ) I Fax: ( ) u
State surcharge (12% of permit fee): $21.60
CCB lic.: 130859
Total fee due upon application: $201.60
Authorized signature: i ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: GARY CUL' I Date: 00/ * Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building \Permits \BUP- RESPetmitApp.doc 02/24/2011 440-461 3T(I 1 /02 /COM/W EB)
C'
Plumbing Permit ApplicatioRECEIVED
Building Fixtures ;- FOR OFFICE': USE ONL\
31 2012 - :,.
City of Tigard MAY D 1 pernu,Nil- l , , - /P-2--
u 13125 SW Hall Blvd., Tigard, OR 9723 Plan Review
0 . Phone: 503.718.2439 Fax: 503.598M OF nGARD Date/By: Other Permit No.: 1 -,e. lo �
Inspection Line: 503.639.4175
T I G AR D BUILDING DIVISION Date Ready/By: kris: VI See Page 2 for
Internet www.tigard-or.gov Notified/Method: I Supplemental Information
=_ - = = _ - = = - _ = _ ` - - .- _ - - = _- -
_ -=== TEE_.-.SCUEDULE- -;'
% =
® New construction ❑ Demolition For spedal btformalion use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 R. for each utility connection)
N S iON
_ .::L .- ; . SFR 1 bath 312.70
__ CATEGORY = OF COi!1 iwci' % ?? =s ( )
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
El Accessory building ❑ Multi - family SFR (3) bath 1 500 32 ,
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other. Fire sprinkler ( sq. R) Page 2
= ▪ :;. _ -_ =M JO SI TE-: INFORIV ►A'170NA1W= iOCATl0K= ==-= - _ _� __ =' Site utilities:
Job site address: /i/9 At) MCP /Ai . (je ,T met Catch basin or area drain 18.76
City/State/ZIP: TIGARD, OR 97224 Drywell, leach line, or trench drain 18.76
Footing drain (no. linear R.: Page 2
Suite/bldgJapt. 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.: ) I Page 2
Water service (no. linear ft.: _) 1 Page 2
Subdivision: ALPINE VIEW I Lot no.: ge___ Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
=�� - �.�� T - -_ '' : �T.,SCItIPT10Ns.OF �= �VORIC'. =- _: = � - � = =;� = = =: ac valve dery 12.51
-- - - .. _._...__-_ _.:::...- _-.- -_- _._....:.:__�_. _............_... - Clothes washer 1 25.02
NEW SINGLE FAMILY RESIDENTIAL Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Egin aii-F 'Y=OiVNEtt;- - = _ _ iLIWA.NT Expansion tank 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
- -- 4 _ - :_::::::,.- ::_ =_ .k ......,_._ Interceptor/grease tra
_ � ATPSIGAIV' ; =- - _�� ---=. ® CO -"� YERSON = P 25.02
Business name: D.R. HORTON INC. - PORTLAND
Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: GARY CULP
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
== - - CONTRACTOR - - -_= -
-_--_- = :- •.,:__ ^ .:,:.. Water heater 1 37.52
Business name: EK PLUMBING Water piping/DWV 56.29
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.: 37 -430PB Plan review (25% of permit fee)
State surcharge (12% of permit fee)
• Authorized signature :��/1�,..e/ TOTAL PERMIT FEE
Print name: MICHAEL EK I Date: //Z___ I This permit application expires if o 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: 113ulidineenniu \PLMU.PumitApp.dac 10/01/09 440- 4616T(1W01/COM/W®)
I _ .. .
. Mechanical Permit ApplicatiofD C
EIVED FOR OFFICE USE 0\1 N
II City of Tigard Received permit Yo.:
• 13125 SW Fall Blvd, Tigard, OR 97223 31 2012
Date/By: 3, / p.' / � /� m /�z'
Phone: 503.718.2439 Fax 503.598.1960 MAY PlanB Other Permit:
Inspection 503.639.4175 Date/By: y: °' o - t� <e�o
T I G A R l) p ection Line: 503.639.75 OF mIG� Date Ready/By: tune- El See Page 2 for
Internet: w•ww.tigard- or.gov UI a DIVISION Notified/Method: Supplemental Information
BUILDIN
i TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees° are based on the value of the work
® New construction ❑ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other- mechanical materials, equipment, labor. overhead, and profit
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES'
® 1 - and 2 family dwelling 0 Commercial/industrial ❑ Accessory building For spedalurfarmation use ducklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION L Heating/cooling:
/i9 , 1 ,� �� _ _ �lJ Air sites conditioning
Job site address: 7 yGCJ ;�f ( (requires site plan !bowing placement) 46.75
City/State!Z IP: TIGARD, OR 97224 Furnace 100,000 BTU (duasl>Aena) 1 46.75
Furnace 100,000+ BTU (duasivents) 54.91
Suite/bldg./apt.. no.: I Project name: ALPINE VIEW Heat pump
(requires site plan showiap placement) _ 6 L06
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST WAY Duct work 23.32
Hydranic 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 1 Lot no.: �_ Flue/vent for any of above 23.32
Other. 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK ' Water heater I 23.32
Gas fireplace/insert ant r water I 3339
NEW SINGLE FAMILY RESIDENCE
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 2332
W ood/pellet stove • 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I El TENANT Chimney/litter/flue/vent 23.32
Other: 23.32
Name: D.R. HORTON INC. - PORTLAND Environmental exhaust and ventilation:
Address: 4380 SW MACADAM AVE, SUITE 100 Range hood/other latches
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 I'( (1-,O
❑ APPLICANT ® CONTACT PERSON Attic/crawispace fans 23.32
• Other
Business name: D.R. HORTON INC. - PORTLAND 23'32
Fuel piping:
Contact name: GARY CULP $14.15 for first four. 54.03 foreacit additional
Address: SAME
Furnace, etc. 1 ' 14, I
Gas heat pump
City/ State/ZIP: WelUsuspended!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/State /ZIP: ALBANY, OR 97322 Subtotal
•
Phone: (541) 926 -1374 I Fax: (541) 926 -7278 Minimum permit the ($90.00)
Plan review (25% of permit fee)
CCB lie.: 88938 State surcharge (12% of permit fee)
f°� ' TOTAL PERMIT FEE
Authorized signature ( '— (1 h t ex�/h 13 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: JOHN BIRCHFIELD Date: a / /�_ • Foe methodology set by Tri- ounty Building Industry Service Board
1:1BuildingTerraiu\MEC- PamitAwdw 03/07/12 617x( /07/COM,'Wm)
i
Electrical Permit Application , FOR OFFICE 1/ USE ONLY
City of Ti and ivea
1 1/41
a g D wed. . 5 �_� , Permit No.: " , . doya
13125 SW Hall Blvd., Tigard, OR 97223 Review
� • Phone: 503.7182439 Fax: 503.598.1960 MAY 31 21, an . fo other Permit: Qap /9 /D/
y'
• .,.: R�
TIGARD Inspection Line: 503.639.4175 Awls: • 0 See Page 2 for
Internet: www.tigard - or.gov • CTTyOFTIG r�'' ie I Supplemental Information
i�...t�.. �.... 0 t � � `�1��'�' � • •4r ' s� ?;.� - � � y .-.z -. ~d' a.s�
• "�4i�{1'tl� �- ` ••-: • � � fiu:l�!^` --U :i�� -a•- �^�i fan . -L f_ t 1. 1- Y?./� t fl� - -�ii •- � ^ .F.Z�:.�w�'= ��,�A'�- �'�• _'E: �.n .2. .�_cc
® New construction ❑ Addition /alteration/replacetnent 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.
ID Demolition ❑ Other;
_ where the available fault current . ❑ Marinas andboatyards.
,::__ 1 -,-1 - e . • • E• t , r exceeds 10,000 amps at 150 volts or ❑ Floating buildings -
tirWr -' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling [J Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: . ❑ Fire pump. ❑ Installation of 75 KVA or
rY� :� u u�' - i sac• . r - ❑Em Emergency system. larger derived • • .� r •" :ti. a ffi W _ "ye'ttt 1'01 ; 4, ; t • r ,y : Ci''` .• ar8 Y ea �Y system.
•• � �= �'•::xiF�� dr•�1gU _ •1.-_:-.. .. r . - ,.:_ � _, it •;: �." - - : ❑ Additio o f new motor load of ❑ °A••, ••E'•, ••1_2••, "I_3 ",
Job no.: Job site address: yei 7/4) ,k /4Gi - 100F� ore residential occupancy.
( ❑ 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.
- Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST n — Rte
n cr h ptioo Qty. Rue 'rout
WAY New residential single- or multi - family dwelling unit.
•
Includes attached garage.
Subdivision: ALPINE VIEW Lot no.: Ze_ _ 1,000 sq. ft. or less I I 168.54 4
. Tax map /parcel no.: •
Ea. add'I 500 sq. ft- or portion 4- 33.92 1 6, 1
.£ � `'�a' �`7r W .%'t ' 7 E i ri ° d1 `-:��� 8 R7 fir' q :: 0' '+1° Limited energy, ova q. f residential A 75.00 2
z . x ; , = q:.r,,:- ..: 11? -) 1? : -_ . ... _ ` f r . :_ (with above sq. R) 1
Limited energy, multi - family
NEW SINGLE FAMILY RESIDENCE residential (with above sq. ft.) 75.00 2
- Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
_- i c _ n m r � =•,.¢ -r �ti hell ,.� `13.-°M . �• -.. _csrc.�i • st
• �.,,;� -_�_. ;'� �•'�� °,;�.; _ -�' -•�'-'�••`p� 201 amps to 400 amps 133.56
•
Name: D.R. HORTON INC. - PORTLAND 401 amps to 600 amps 200.34 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 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�3 ' •�,�'__�,,�A , w� , rr .. �.�: above service or feeder fee
7A2 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 or modula 67.84 2
. dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) • Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
• E - mail: gaculp ®drhorton.com Si or outline lighting 8 ' 67.84 • 2
L 3_. J ar rfy; f � * . l �... . , fit gr
zC ' ' ' ° .:; 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 (1 hr min) 66.25 / hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (360) 573 - 2750 Fax: (360) 576 - 7422 Inspections for which no fee is
90.00/ hr
s. - ifical listed V hr min
CCB Lic.: 60178 Electrical Lic.: 37 - 491C Suprv. Lic.: 3562S • ,s . ' 6 A ("c��'€; �,��° . '„ Mr ,1•
I Subtotal:
. Suprv. Electrician signature, required: t
_ Plan review (25% of permit fee):
Print name: BILL HALBERG - ipi ate. State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature.`9P2iogy This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: MATT HALBERG • Date: ? 3/ / Z • Number of inspections allowed per permit- •
. l:\ uitdingtPe nuro t•C- vrnnitApp.doc 07/01/10 440.4615AI1/05/COtwwsn •
a-Q c� P-0.97 - (4r ) -w C
• Building Division
• Development Code Provision Review
T I G A R D Residential Projects
Building Permit No: ,114) - r - a6 (7 cot )
CWS Service Provider Letter Received: Yes ❑ No ❑ N /A) M a0
kett
Routed Plans: ai--
Original Plan Submittal Date: 5 ` 3t f /
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 along left only if approved.
Planning Review (contact t 503 -718 ( #() or @tigard-or.gov)
La pd Use Case No. C j Name V tQtit)
LE Zoning
O Setbacks:
Front ] Rear / Side Street Side / Garage as 0
LE Maximum Building Height 5 Actual Building Height
❑ Visual Clearance
❑ Easements _
❑ Sensitive Lands Type: �
Notes:
Original Plan: Approved V Not Approved ❑ Date: 0 11 /7/ 2---
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 7 cy
Notes:
. • Original Plan: Approved.-Er Not Approved ❑ Date:
6/4112-
= Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date: •
•
(Review Continues on Page 2)
Page 1 of 2
- •City Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov)
� treet Trees
Pr otected Trees
Notes:
Ori al Plan: A roved / NotA roved ❑ Date: G 'y "«b�
l PP PP
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 Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes> No ❑
Date Routed to Building.
-- -r -- - .. - - - -' I
- -
•
Page 2 of 2
i ALPINE VIEW NED
LOT 22 -
. CITY OF TIGARD, OR MAY 31 Z0J2
DISCLAIMER: CITY /JURISDICTION HAS AUTHORITY CITY OFTIGARD
' TO CHANGE SITE PLAN IF NEEDED. BUILDING
EROSION CONTROL FRON PE
HAY AND SILT FENCE IF NEEDED
•
I
,``` LOT COVERAGE
I LOT AREA = 4632 SF
BLDG FOOTPRINT = 1512 SF
COVERAGE = 33%
4
j�`
r i
EXISTING
a / SETBACK REQUIREMENTS
�j FRONT (TO BLDG WALL/PORCH) 15'
a DOUG. FIR — TYP. L '∎
bi5 50.00' Sib SIDE YARD (ST.) 10'
f - '40 ° SIDE YARD 5'
N �� i� ,�� ' GAR 20'
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`� LOT 22 REAR 15'
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o SILT FENCE — TYP.
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c I r7 l p 10 20
Z I �� PACIFIC DOGWOOD _
SW ALP!N� ORES- NAY STREET TREE — TYP. — 1 INCH = 20 FEET
a r/
d ADDRESS: 14297 SW ALPINE CREST WAY D.R. Horton Homes
j PLAN : 4701
0 SCALE: 1 - 20' 4386 SW. Macadam Avenue, Suite 102
DATE : 5/31 -12 Portland Oregon
PHONE : 503.222.4151 FAX : 503.222.3717 .
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, � , +" , am the general contractor or the owner- builder
at the following address:
Site Address: 14 297 (A/ n f �) � epos + ' , /
('� f WI
City:
77
Permit #: M� 20 2 ^00 I ZZ
Subdivision/Lot #:
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: a/ Date:
General Contractor or Owner - Builder
I: \Building\Fonn\RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: / 0 2 _ n o I z _ Z Jurisdiction:
/V 1 I 5e4 (4
Site Address: 14 ZQ s
�I C' (.vaY
Subdivision/Lot #:
A r l n + 1 e
i tJ LOT
and/or
I� 1 V
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:
Owner eneral ontractor /Authorized Agent
Print Name: 0 u %;c1
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.
1:1Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08
1
STREET TREE
TIGARD CERTIFICATION
I, Sr p ( r4s1- , owner / agent for J, 2_
(PLEASE PRINT) (PERMIT HOLDER)
do hereby certini that the following location meets
City of Tigard land use and development standards
for street tree installation and is consistent
with the approved site plan.
PERMIT NO.: M 2_0I? -00/ 2 L
HIE ADDRESS: 1 4 2 q 7 S (A/ 4 f pi h.2 (i i
SUBDIVISION: e - i LOT #: L
SIGNATURE: DA1 E:
(O ► £VAGENT)
RECEIVED &
VERIFIED BY: DA 1 E: - q_ (
( - •FTIGARD)
I Tree location verified pe approved site plan.
I: \Building \Forms \StreetTreeCertificate 05/30/2012