Permit v CITY OF TIGARD MASTER PERMIT
II 11 • COMMUNITY DEVELOPMENT Permit #: MST2012 -00132
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/22/2012
Parcel: 2S109AB15600
Jurisdiction: Tigard
Site address: 14143 SW ALPINE CREST WAY
Subdivision: ALPINE VIEW Lot: 37
Project: Alpine View, Lot 37
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 4 First: 936 sf Basement: 0 sf Left: 5 Parking Spaces. 0
Height: 29 Bathrooms: 3 Second: 1361 sf Garage: 385 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2297 sf Value: $255,919.80 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: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Drywell- Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
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: 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
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 2297
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
PORTLAND, OR 97239
PHONE: 503- 222 -4151 PHONE: 503 - 222-4151
FAX: 503- 222 -1304
Total Fees: $17,981.43
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and al other appli ble 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 ork is s pen ed for more the 180
days. ATTE e•: •regon law requires you to follow the rules adopted by the Oregon Utility Notificatio - t, . Those I r.:. s et forth in OAR
952-001-1: 0 through OA" 952 -. :1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .232.19: or 1.800.3 .2 44
Issue. By: �/ /
Permittee Signature: A4�.
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 proJec
Approved plans are required on the Job site at the time of each inspection.
Building Permit Applica t'V P r7
Residential ='M =' F012 OFFICE USE ONLY
City of TigardJIJN 1 2012 Received _
1 Permit No.: l J6 d�4�— IJQ/32..
Date/By: � � I 41 �/
ill
• 131 25 SW Hall Blvd., Tigard, OR 97223 Plan Revie
C , Phone: 503.718.2439 Fax: 503.5 ,98}1,9 0OF d ./i c-10 Date /By: j. �I 1 `r ( Other Permit: �/V�Q ��,�����
TIGARD Inspection Line: 503.639.4175 \- d a, - '.,: Date Ready /:: e , , Anis: ® See Page 2 for
Internet: www.ti ard -or. ov , �r t� Notified/Me 0 #2( r Supplemental g g ���� ®�' �! �� pp emental Information
•
TYPE OF WORK REQUI ED 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.
® I- and 2-family dwelling — Valuation: $
y g ❑ Commercial /industrial ) l * C'J's
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors:
2
Job site address: /y /9_ ,a m ms - e - e New dwelling area: 7 square feet
City /State /ZIP: TIGARD, OR 97224 Garage /carport area: 38 square feet
Suite/bldg. /apt. no.: Project name: ALPINE VIEW Covered porch area: /O, square feet 1 1 I
Cross street/directions to job site: SW ALPINE VIEW AND ALPINE CREST WAY Deck area: square feet ci 3(,
Other structure area: 2 r ez , square feet Z 1
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ALPINE VIEW I Lot no.: -*7 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 CO CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: D.R. HORTON INC. - PORTLAND
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:
Phone: ( ) I Fax:: ( ) Amount received: 75Z Y
E -mail: gaculp@drhorton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: D.R. HORTON INC. Submit two ' sets of roof plan with t I - tion details
and fire depart - t access : ith the 2010 Oregon
Address: SAME Solar Install[ _ to ty Code checklist.
City /State /ZIP: •ermit Fee (inc + plan review $180.00
and admini l tive fees):
Phone: ( )
( Fax: State surcharge (12% of pe ee): $21.60
CCB lic.: 130859
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.
* Fee methodology set by Tri- County Building Industry
Print name: GARY CULP I Date: / / /� Service Board.
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it � � / � t r
Plumbing Permit AppliFE 4 . ° ' 7 : ' -.
Building Fixtures JUN 1 4 2012 • a FOR, o rrlcc,usc-oNLY r ; ,
City of Tigard evil; Retxivea i7^
J - ti, to /t / j �i Permit Na.: /!!' 7 J� " / 39-•
a 13125 SW Hall Blvd., T OR gT 2 F If }� - D ate /B y: 1 O� • 1 ll Phone: 503.7182439 F (5 16511 4 Dale
/By: nv Other Permit No.p.(� i//'7
4a0fA -
TIGARD Inspection Line: 503.639. w Date Ready/By: curl: la See Page 2 for ((
Interact w«9v.tigard -0r.goV Nolified/Method: Supplemental Information
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® New construction ❑ Demolition Forspeclol information use checklist
Description I Qty. I Ea I Total
❑ Addition/alteration/replacement ❑ Other. New I- 2- family dwellings (includes 100 R for each utility connection)
-=- - _- = - _= = = - CATEG_QRYOF : CONSTRUCTION; ___ -. ?. SFR (1) bath 312.70
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
building SFR (3) bath 1 50032
❑ Accessory g ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other. Fire sprinkler p sq. fi. Page 2
_ = _ - _:JOB SITE=7NFORMATION _AND'LOCATION -__ - _ _-�_ Site utilities:
Job site address: /9W 7 9 /,,/ nC - i 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 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.: i Page 2
Water service (no. linear IL: _) I Page 2
Subdivision: ALPINE VIEW I Lot no.: 77 Fixture or item:
Tax map /parcel no.: / Backflow preventer 3127
=� _.: >_:_a =
Backwater valve -- - BarJa ter vat 12.51
:__�_-=- -T=- =- _ �= �. � .:= �ESCRIPT10NsOE :_-)VORK'` " i_:'-- � -= =__
_.- _..... ._._. -. Clothes washer 1 25.02
NEW SINGLE FAMILY RESIDENTIAL
Dishwasher 1 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
_� -- ® =PROE RTZB.W.VEft - - __ _ - -3'� =TO1A2: - - _ 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
s - = = . _ -= _ Y _ Interce tor! ase trap - �.A�PSiCAN'`_ = > =__; ` =- :_= ®�CONTACCPER50N� ^, >� P gre P 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/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: gaealp @drhorton.com Urinal 25.02
= _ =r -_ = _ R _ --_ - _ - - Water closet 3 25.02
- -- _ -..-_- -. -- OW.G'l:UR ;; = -- :i= __ = Water heater 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 Ice)
%�ruL� �Q T � State surcharge L P ERMIT fcc)
Authorized signature: / / OTT AL PERMIT FEE
Print name: MICHAEL EK I Date: � /` This permit application expires if a permit is not obtained within 180 days
r after it has been accepter as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
l: lbuildinatPermiu \PLMU•PetmitApp.doe 10/01109 440- 16i6T(10/02/COMIWEa)
Mar 28 12 05:03p Birchfield Heating
A 541- 928 -7278 p.2
Mechanical Permit Ap a 'a �� ,. . E E , r(,, OFFICE liSE 0\1.\
!r Received �j��, Y
City of Tigard Date/By: �� Permit . o.:WST 0i. -etY3 9-
: . • 13125 SW hall Blvd., Tigard, OR 14 2
� Plan Review /� �
at
Phone: 503.718.2439 Fax 503. 0 Date/By: Other Penmt: �0 �-00 /!
T I GA It D I Line: 503.639.4175 ®� �IGI\ D Date Ready /By: astir El See paste 2 for
Internet: www.tigard- or.gov C1 ., Notified/Method: Supplemental Information
• 131111 DING D1 � i s �j
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
® New construction ❑ Addition /altcrationireplacement 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 ❑ Commercial/industrial ❑ Accessory building for specialinfarmmIaa use checklist
❑ Multi - family [] Master builder ❑ Other: Description 1 Qty. Ea j Total
JOB SITE INFORMATION AM) LOCATION Heating/cooling:
f (/ � ^ „ /�� C/` -' /� Air conditi pl
Job site address !u ' (�/'�/ % / t. (requires sits plan showing placement) 46.75
City/State/ZIP: TIGARD, OR 97224 Furnace 100.000 BTU ( dnaxs /alenn) 1 46.75
Furnace 100,000+ BTU (duetvvcnts) 54.91
Stritr/bldg.!apL no_: I Project name: ALPINE VIEW Heat pump
(requires site plan showinp,9Iacement) 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.:. 3 Flue/vent for any of above
-.-
2332
Other 2332
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 1 1 23.32
NEW SINGLE FAMILY RESIDENCE Gas fireplace/irtsert 1 3339
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove - 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.3?
Other: 2332
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
103 22151 Fax: (503)222-1304 Single -duct exhaust (bathrooms,
Phone:
(- )2 toilet compartments, utility rooms) 5 23.32
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Business name: D.R. HORTON INC. - PORTLAND 23.32
Fuel piping:
Contact name: GARY C U LP 514.15 for Graf four. 54.03 for each additiao al
Address: SAME Furnace, etc. 1
Gas heat pump
City/State/ZIP: WalUsuspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater 1
Fireplace 1
E -mail: gaculp ®drhorton.com Range
CONTRACTOR Barbecue
Business name: BIRCIIF(ELD HEATING AND AIR CONDITIONING INC. Clothes dryer (gas)
Other: .
Address: 1491) INDUSTRIAL WAY MECHANICAL PERMIT FEES*
City/State /ZIP: ALBANY, OR 97322 Subtotal
Phone: (541) 926 -1374 I Fax: (541) 926 -7278 Minimum permit fee (590.00)
Plan review (25 %of permit fee)
CCB lie.: 88938 State surcharge (12 %of permit fee)
r
�t TOTAL PERMIT FEE
Authorized signature / I h 1 E/ l r
IA h - l 1 -it. p t t 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: 61,3//Z,..
[ 6� ' Fee methodology set by Tri-Counry Building Industry Service Board
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i•
. Electrical Permit Appl J i C r tl \/ D FOR OFFICE USE ONLY
1 4 tit City of Tigard 1 4 2 012 l ��i Permit No.: SST. /9.._ 13125 SW Hall Blvd., Tigard, OR Plan Review
• C Phone: 503.718.2439 Fax: 503.598.1960 / � fryy �/B :' Other Permit: � /2_96 TIGARD Inspection Line: 503.639.4175 CITY OF TI D Dare Ready/By: earls: • la See Page 2 for
I nternet: www.tigard- or.gov : 1 II I Ifs ` � l�f il.� i 4 r t Notified/Method: Supplemental Information
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sr = -r,u 110:7- 3 •s..5...- -- 't:r�9-- •- �-�-`' � �`' -� ,..s?.,.,-_-. . Aic1-- v..,.2-4'r- 4•,.,
® New construction Q Addition/alteration/replacement Please check all that apply (submit i! sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition ❑ Other
where the available fault current ❑ Marinas and boatyards.
•, '•_"-7",� =, T -?=!. ;•; ' - IM 'a 1 a r 6 � ' e 147- _,_5 E exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
® I- and 2 - family dwelling Q Commercial/industrial less to ground, or exceeds 14400 ❑ Commercial -use agricultural
❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder _ Other: . ❑ Fire pump. ❑ Installation of 75 KVA or
c efi Emergency em. larger
" ?1 : 1fli 1,1 ejf. •i I A .' '`L� -t P , .• s rt fe l . WI P ❑ 8 Y separately derived system.
• .
-- -b:,�. cis �- i?;;La - -:...' m; :aFE?a_._ • ❑Addition of new motor load of ❑ «A••, • ••1_2 ^,
Job no.: Job site address: V9 ( (,) l00 0rmore. occupancy.
/ I j �� /" L � ee ❑ Six or more re units. ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97224 • ❑ Healtb -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. a
—
- . "7,i i r• ors.• ~ 1 - y . Ei
U J 3 .t e r .--a . -W . 171, — Til l . -4
.. 71,—T =.5
Cross street/directions to job site: SW ALPINE VIEW AND SW ALPINE CREST p ipe Qle Fee. 'roue
WAY New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: '.
ALPINE VIEW I Lot no.: 7 1,000 sq. ft. or less 1 I 168.54 4
Ea. a 0 sq. ft or portion dd'I 50. 33.92 1
Tax map/parcel no.: 4
a r .' -_ ,1FT,S -i;� _ Limited energy, residential
• G -•_,;.. T _ ± B.e� e. • „ liv•6 , sli ; .`,te ... '. i`�'-
,.- ,�' ` yr • 0 (with above ft.) 1 75.00 2
Limited en
NEW SINGLE FAMILY RESIDENCE energy, multi- family 75.00 2
residential (with above sq. ft.)
' Services or feeders installation, alteration, and/or relocation
� :
_ o
, £ �� � �� • 200 amps or less 100.70 2
�- ;_.�_ %- �E� �.E.t�.x `� � -.�: ::� � � 201 amps to 400 amps
- - ... 13336 2
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 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 1 168.54 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
,� � _ : . 6i ct • P, above service or feeder fee
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 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
-: :;, ., >�x_� -• , , _ _ ., , , ._ . Sign or outline lighting • 67.84 - 2
' -�`���i`�- • .- ° '•' - .. - Y «_ A Signal circuit(s) or limited-energy
. Business name: PRAIRIE ELECTRIC panel, alteration, or extension. I Page 2 - 2
Each additional inspection over allowable in any of the above
Address: 6000 NE 88 1ST Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: VANCOUVER, WA 98665 Investigation (1 hr min) • 6635/ 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
. - iftt all listed Ys hr min
CCB Lic.: 60178 I Electrical Lic.: 37 -491C I Suprv. Lic.: 3562S • Y_°'' tRi e.N. ' +_ 'W r�,=- , -�i; _, T l
Suprv. Electrician signature, required: ` / \ ( Subtotal:
i _ . Plan review (25% of permit fee):
• Print name: BILL HALBERG . ,rii ate: State surcharge (12%of permit fee):
Authorized signature TOTAL PERMIT FEE:
This permit application expires if a permit is pot obtained within 180
Print name: MATT HALBERG days after it baa tern accepted as complete.
I Date :le !7 / e✓ • Nu mber of inspections nspections allowed per permit.
•
. 1 : 1 8uiIdinglpermits1ELC- PerndtApp.doc 07/01/10 440- 4615T(IIPoS/COMJWEB
•
/ acoliLAAIE 6 e5r
A -44 ihe &J� 4 7
a Building Division
Development Code Provision Review
T i c A ° • Residential Projects
Building Permit No: 1 -16 1 o 19.-001 3A
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A in
Routed Plans: !� /
Original Plan Submittal Date: (,
15 Revision Submittal Date: ❑ Site Plan Only
2 ^d 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 kfri. at 50 -718 - ' /'/ ' 7 r e) or _ @tigard- or.gov)
Land Use Case Nos /90I 2 Name A. /./ .A.4._/
C/ Zoning fv- ?
Setbacks: Z
Front / 9 Rear / ' Side 5 Street Side / v ,f Garage, 4/Ai
Maximum Building Height 3 ---,P,1-/ ' Actual Building Height +
❑ Visual Clears
❑ Easemen rt'- �1
❑ Sensitive yp
s e: O "
Notes:
Original Plan: Approved Not Approved ❑ Date: ��a'V /l 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)
11/1 Afr Actual Slope: 1 Z
Notes:
Original Plan: Approve Not Approved ❑ Date: b(2. / Z .
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved . ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City &rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
i ijStreet Trees
0 Protected Trees
Notes:
Original Plan: Approved fi Not Approved ❑ Date: 1 61a
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date: •
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@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 Appli t
Okay to Issue Permit Yes o r ❑ i ���
Date Routed to Building: �
A
. ,
._
Page 2 of 2
ti
k , i ALPINE VIEW ri..Cq .. ED
LOT 37 JUN 1 4 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
_\ ' O HAY AND SILT FENCE IF NEEDED
28.00'
58 3° LOT 37
L � Vl 6,658 SQ.FT. op`
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Er: ADDRESS 14743 SW ALPINE CREST WAY D.R. Horton Homes
j PLAN : 3724 B
0 SCALE: 1 = 20' 4386 SW. Macadam Avenue, Suite 102
DATE : 6 -13-12 Portland Oregon
. PHONE :50.3.222.4151 FAX : 503.222.3717
Oregon Residential Specialty Code R318.
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
l\IA f5 , am the general contractor or the owner- builder
at the following address:
Site Address: 14 14 S C n Ip' C rn � tA
FT Y
City: - -
I j..5?(
Permit #: M 2-01 2- ^ Oo I
Subdivision/Lot #: ^
1101 1-..0 of € - ) / LOT Si
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: Date:
General ontractor or ner- Builder
I:\Building\Form\RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: 20 2-- n o 13 ,� Jurisdiction: --T /
t�
Site Address:
Subdivision/Lot #: n'
e etr.) La T 37
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:
Ow rGener Contractor /Authorized Agent
Print Name: Lei n N(4 K
I 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\ Forms \RES- HighEfficiencyLighting.doc 07/01/08
,
STREET TREE
TIGARD CERTIFICATION
I,
(\orN , owner / agent for IV. 146H-5k>
(PLEASE PRINT) (PERMIT HOLDER)
do hereby cert j 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.: ,4A 2-01 Z - 001 - c Z
ST1 E ADDRESS: 14143 St,./ Alpine C r& M./z/
SUBDIVISION: P ', LOT #: Z7
SIGNATURE: �f , DA1 E:
(OWNER/ GENT)
RECEIVED &
VERIFIED BY: • _ 4 yw� DA1 E: 4 _ �) _ .�
OF TIRD)
Tree location verified per approved site plan.
1; \ Building \ Forms \StreetTreeCertificate 05 /30/2012