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Permit ,111 ` '‘,f y 1 , x _ ' i . :,' CITY OF TIGARD to 25Afal MASTER PERMIT • IlL t; .. COMMUNITY DEVELOPMENT Permit #: MST2012 00193 s 4 , Date Issued: 09/11/2012 ✓ T[GARDi 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S109AB17700 Jurisdiction: TIGARD ' Site address: 13263 SW HOOD VISTA LN Subdivision: HIGHLAND HILLS ESTATES Lot: 6 Project: Highland Hills, Lot 6 Project Description: New SF. 10/25/12, reprinted to add fire sprinklers. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 991 sf Basement: 0 sf Left. 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1322 sf Garage: 413 sf Front: 15 Smoke • Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2313 sf Value: $260,165.84 Rear: 15 , PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain. 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs /Showers: 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 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 , Furn <100K: 1 Vents: 0 Woodstoves. 0 Gas Outlets 5 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add 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 & 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 2313 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 639 -4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 381 -3753 PHONE. 503 - 381 -3753 FAX 503 - 214 -8524 Total Fees: $19,108.19 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 it 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 -0010 through OA' 52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 .800.332.2344. ap C . Issued By: 0 / f-: Permitt Signature: a117— �— Call 503.639.4175 by 7:00 a.m. for the next available inspection date. ` This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. eZ FOR OFFICE USE ONLY — SITE ADDRESS: This form is recognized by most building departments,in the Tri- County" area for transmitting information. Please complete this.form when submitting information for plan review' responses and revisions. This form and the information it provides helps the review process and response to your project. City of • Tigard° CQMMUNITY DEVELOPMENT DEPARTMENT T Letter 'r1 c A R D , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DATE RECEIVED: DEPT: • BUILDING DIVISION RECEIVED 0 f 1'7 2012 FROM j;os \(;" 4'((o CITYOFTIGARD COMPANY: ` <Cr ,9,,) . tt6/V'<7 Ailv BUILDING DIVISION , - 'PHONE: . sD .3 0 (' _, j 1 .. By: - RE: I L2 ( . S� �a�V o, /c I N4/.s"r2o f 2_ - o ©i 9� - . (Site Address), , (Permit Number) ( roj tt name or subdivision• name and lot number) ' ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description " ., Additional set(s) of plans. Revisions: , Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roofframing. Basement'and retaining walls. - . Beam calculations. , Engineer's calculations.` 20 ' Other,(explain): - : in( Su roi,co - REMARKS: FOR FF USE ONLY Routes . ' - chniciati: Date: (0`(/ /Y Initials: �!r • Fee Description: Amount Due: $ 1609. $ vro • 35' $ Special MINIM • ' ; Re s int Permit • er P2 _ 'efS 0 • _ one w A • • licant.Notified: e: a _/o �!!J , _ I „ I \Building\ Forms \TransmittaiLetter =Revisions:doc 05/ /2012 CITY OF TIGARD MASTER PERMIT N 2 • COMMUNITY DEVELOPMENT Permit #: MST2012 -00193 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012 Parcel: 2S109AB17700 Jurisdiction: TIGARD Site address: 13263 SW HOOD VISTA LN Subdivision: HIGHLAND HILLS ESTATES Lot: 6 Project: Highland Hills, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 991 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 3 Second: 1322 sf Garage: 413 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2313 sf Value: $260,165.84 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs /Showers: 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 Other Fixtures: 0 Drywell -Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<l0OK: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 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 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 2313 Owner: Contractor: MISSION HOMES NW MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 639 - 4175 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 381 -3753 PHONE: 503- 381 -3753 FAX: 503- 214 -8524 Total Fees: $18,918.24 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 i • = nce 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. • TENTION: c egon la - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0 -0010 through O • - 9 - 101 -00- You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332. • Issued c • Permittee Signature: L _ _ Call 503.639.4176 by 7:00 a.m. for the next available Inspectio This permit card shall be kept in a conspicuous place on the Job site until completi • • • project. Approved plans are required on the Job site at the time of each Inspection. F�' i , Building Permit Application • Residential RECEIVED FOR OFFICE USE ONLY City of Tigard RECEIVED Re 7 � �� . - ' Permit No.: f/-/ 3 il ° 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 5 2O1Z Plan Review y��/n Phone: 503.718.2439 Fax: 503.598.1960 DateBy il 'V r 27 ,-G Other Permit: taps O` -0 'I I G A It D Inspection Line: 503.639 CITY OFTIGARD Date Ready :y: �� � / Jurist See Page for Internet: www.tigard- or.gov BUILDING Notified/Method. � /,p1. �5/ Supplemental al l Information YJ vrt t l // TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, an* e p .,_. h. CATEGORY OF CONSTRUCTION work indicated on this application V. Valuation: 00 - A; ' ® I- and 2-family dwelling 0 Commercial/industrial _ - �� G i ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 13263 SW HOODVISTA LANE New dwelling area: 2313 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 413 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: ' -7g square feet f372- Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: square feet l G- Other structure area: -2,724 square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: HIGHLAND HILLS C� Lot no.: 6 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 24 I o ('112 /77610 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 Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: MISSION HOMES NW (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 Total fees due upon application: City /State /ZIP: LAKE OSWEGO /OR/97035 � ,' Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Amount received: E -mail: JOSHKELS03 @GMAIL.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: MISSION HOMES NW Subm . o (2) sets of roof plan with conncctio , = ails and fire depa - nt access, along with • - . i 0 Oregon Address: PO BOX 1689 Solar Installation .. ' <l Co, • ecklist. City /State /ZIP: LAKE OSWEGO /OR/97035 Permit Fee (inclu...:. review $180.00 and .1 mistrative - es): Phone: (503) 381 -3753 Fax: (503) 214 -8524 State sure . rge (12% of permit fee): $21.60 CCB lic.: 186849 . tal fee due upon application: $201.60 Authorized signature: V2.1,- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: 7/24/2012 * Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building \ Permits \BUP- RESPermitApp.doc 02/24/2011 440.4613T( I I /02 /COM/WEB) Mrechar ical Permit Applicatio - • FOR OFFICE USE o Received . Ci of Tigard Al 2 7 P ermit No.: y�r049 M / tY g C.. 2 5 Date/By: 8 / / J/ v� 4`^w ,/ IN ° 13125 SW Hall Blvd., Tigard, OR 97223 C Plan Review - A ,9� //_ p Phone: 503.718.2439 Fax: 503.598.1960 CITY Date/By: Other Permit: (AYL t0/ Inspection Line: 503.639.4175 ' OFTIGARD Date /By: I G A R D Ins Juris: P 7 Date Noti Ready By: ® See Page 2 for Internet: www.tigard- or.gov UlL ®lNGDIVISION fid/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, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist - ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 13263 SW HOODVISTA LANE (requires site plan showing placement) 1 46.75 City /State /ZIP: TIGARD /OR/97224 Furnace 100,000 BTU ( ducts/vents) 1 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO.133 TO 134TH Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or ' hydronic) , 23.32 Unit hcatcrs (fuel -type, not electric), in -wall, in -duct, suspended, etc. . . 46.75 Subdivision: HIGHLAND HILLS Lot no.: 6 Flue /vent for any of above 23.32 Other: 23.32 • Tax map /parcel no.: . Other fuel appliances: DESCRIPTION OF WORK , Water heater 1 23.32 NEW SINGLE FAMILY ' Gas fireplace • 1 33.39 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 El TENANT Chimney/liner/flue/vent 23.32 ' Other: 23.32 Name: MISSION HOMES NW • Environmental exhaust and ventilation: • Address: PO BOX 1689 Range •hood/other kitchen equipment 1 33.39 City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 Fax: (503 214 -8524 Single -duct exhaust (bathrooms, Phone: (503)381-3753 ) toilet compartments, utility rooms) 4 23.32 • ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 • Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact, name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. 1 • Gas heat pump - • City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater 1 Fireplace 1 E -mail: JOSHKELSO3 @GMAIL.COM Range • 1 CONTRACTOR Barbecue l Business name: ADVANTAGE HEATING & AIR CONDITIONING, LLC Clothes dryer (gas) Other: , Address: 2355 HYACINTH MECHANICAL PERMIT FEES* City /State /ZIP: SALEM/OR/97301 Subtotal Minimum permit fee ($90.00) Phone:•(503) 393 -5315 Fax: ( ) Plan review (25% of permit fee) CCB lic.: P7 51A G State surcharge (12% of permit fee) TOTAL PERMIT FEE • Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: 7/24/2012 • Fee methodology set by Tri -County Building Industry Service Board 1:\ BuildingWermits \MEC- PermitApp:doc 09/09/10 440-0617T (11 /02/COM/WEB) • Plumbing Permit Application • • Building Fixtures RECEIVED FOR OFFICE USE ONLY . City of Tigard D Received 7 I , Permit No.:H97A,/ - o 3. II n 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 5 2012 p Phone: 503.718.2439 Fax: 503.598.1960 P R e vi ew Other Permit No. Qo1'30/p9^�/4o Date/By: T I G A R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Juris: ® See Page 2 for Notified/Method: - S Internet: www.tigard- or.gov p�t *� lemental Information TYPE OF WO c att 1l T AA Ie LL I'GDIfISI ®N PP FEE* SCHEDULE ® 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) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 0 1- and 2- family dwelling ❑ Commercial /industrial • SFR (2) bath 437.78 SFR (3) bath I 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (2313 sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13263 SW HOODVISTA LANE Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City/State /ZIP: TIGARD /OR/97224 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: HIGHLAND HILLS Manufactured home utilities 50.03 ' Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH Manholes 18.76 Rain drain connector • 18.76 . Sanitary sewer (no. linear ft.: ) Page -2 ' Storm sewer (no. linear ft.: ) - • Page 2 • 0 • Water service (no. linear ft.: ' ) Page 2 • Subdivision: HIGHLAND HILLS ' I Lot no.: 6 Fixture or item: ' Tax map /parcel no.: ,Backflow preventer -31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer I 25.02 NEW SINGLE FAMILY Dishwasher 1 25.02 Drinking fountain 25.02 • . Ejectors /sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: MISSION HOMES'NW Fixture %sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address:, PO BOX 1689 Garbage disposal 1 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 • - Hose bib ' 2 25.02 . Phone: (503)381 -3753 Fax: (503)214 -8524 . Ice maker 1 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 " Primer . 12.51 Contact name: JOSH - KELSO • Roof drain (commercial) 12.51 Address: PO BOX 1689 • Sink/basin/lavatory 6 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) , 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E -mail: JOSHKELSO3 @GMAIL.COM Urinal 25.02 • Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 • Business name: S & B PLUMBING Water piping/DWV . 56.29 • ' Address: 10601 - EVERGREEN HWY Other: 25.02 ' City /State /ZIP: VANCOUVER/WA /98664 Subtotal • Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 CCB Lic.: 168129 Plumbing Lic. no.: Pe S(f Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: JOSH KELSO Date: 7/24/2012 This permit application expires if a permit is not obtained within 180 days . after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. - I:\Building\Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(t0/02 /COM/WEB) , 48/17/2.011 13:12 5034636863 D �^�`t l ONNECTIONS ELECTRIC #2190 P. 002/002 mN.. I. LV I I IV.-76wu ( \ \JJ��jj�� I I ITV I . L . , Electrical Permit Application rc t i s OILIA ( 1:; t 1 <.!; O,N I . ), r City of Tigard JUL 2 5 2012 7 . Paml; , al A -OO/ 93 11 13125 SW Hell Wvd., Tiy,ad, OR 97273 A ' �i " { Mao: 303418.2439 : 503.59 %FTIGARD n I abaPerTna: R 90A -G0!!p ldn 503.639.4113 : - r. . , i laspeaion BUILI�[t'�'G:',�I , N 1Menrel: w�vtigord-0rgov • .... - , TYrE OF WORK . • _. r .: RI AN ABM' . ' : -.... , f.. . ... • D Now commotion [a Addillon/alterationhtplacement Please ' cob i law oiviserc knv)' O Service or Creda 400 mops orsome QMina werOMstolid. • ,�lDen10110on Other, _ Maims em t " „�e� the rveaon OA wool D boatyards. . , s' , i :f ": �,;. . exceeds 10,000 amps et 150 colts or CI Elating Wakes ,► .. ► �el it H� :�'> :�, :.. less w polo. er Ganda 14,000 (Cann orohl4aeeg cobra' 01- and 2-family dwelling © Commerelal/lndustdal D Accessory building maps broil mbartastalauoas. bulidtaga El Mult1 -tmtly ❑ Master builder (] Other: Q itro pomp. CI maeuatlon or73 RVA Of ' ' lop srrE'INFORMMATI AND LOCAT - - pltmorgreoy ismere.pe* cot mlotorload of Q" ". ir, SAW 7� 2- 3 SN c/vomi,.s7<j C� . loolipatmam d occupant* . Job no.: Job site address: / 2 � �/ � OSac or atom tasitaalfel ttals. OltetreMlaaal SAW prim Ctty/State/21P: ,( h 40 0 7 v `� I Q f,tiidow I p 600 mon more then Sulle!bldglapt. no.: 1 P r o j e c t name: 0 1l L s O Service at l i m i e r ems re moo. • Cross stteet/direelions to Job alto: ntnrtonw . I.): -� r surd . r� Now ruldcnNttl Or aruftI- rlsmily dwelling unit. • �v (l 1,44 4--,,,:n te �3 7 Includes *niched game. . SubdMsion: fk at (�— J I.ot no.: � IA 0. 00se. (gloss 1 ' tau 4 Tax map/par�cel no.: + Bra, add'1500 sq. ft. or portion k 33.92 _ .1 �latite� ameray,- tasidentlal 71100 2 • osscairrrar OF wad' . ' • -Th. -- . (, o. 4 s.1 1 Limited ergo, mutdamgy 75.00 2 NEW SINGLE FAMILY rosidoatial (what above s4. M • Sorvleme or feeders installatloa androt relegation 700 amps or less 100,70 _ 2 ® PROPE -- O TENANT 20inmpato400emps I3J.s6 2 Name: MISSION HOh188 NW: 401 amps to doe amps 20034 2 601 amps w I,000 amps 301.04 2 Address: PO BOX 1689 Ora 1.000 arms or votu 55126 I a City/Suite/ZIP: LAKE OSWEOt>/OII/47035 Temporary awakes or kaki's init ltidan, alteration, and/o Phone: (503)3814153 Fax: (503)2144 524 ' • 200 amps or less 59.96 _ 1 ps 0400 Owner Installation: )'his bisiallalion is being made on propels) that I own Web is not 201 a r' (o5$ a nsps 173.38 2 intended for sale, lease, rent, or exchange, according to OM 447, 449, 670, and 101. 401 as pa ess9 amps !d8 s4 2 Branch elrouits —new allot!Ion, or actendoo, r panel Owner signature: Date: A. Foe for branch ciseuil$+rah . • .' la ArrIACANT - - I Q crorrAGT ransom M abo Erase or feeder 742 • - 2 Business name: MISSION HOMES NW Poo for weds atccult: eerviee or feeder the. tau 56.18 2 Contact name: JOSH KELSO bIansh area . Sash add') brooch 0rc=0 7.42 2 Address: PO BOX 1689 hlyfallepouskorvice or Ibeder not included) - EmI itionutommed or modular City /SIaWZIP: LAKE oSWEGO/OE/91703s dwell • 67.84 a Phone: (503) 7813753 I t=ax:: (503) 2.1448524 only sa 2 &mull: Marla 'OSRKELSO3(4)01+ II+1COA[ Sign a irsi8atimu errors ' 67.84 2 Sign or MEN lighting . COI 'Oa - Soul circuit(s) orlGnfeSeameY Business name: CONNECTIONS ELECTRIC J�waeus ofeated3ioa pogo e Sub addettonal inspection OM allowable io any of the above Addtomg 46 75 1� OR'17.AND RD NE { 7 +3e Additional IasptWoa(1 brmin) - ' 6625/ hr . City/State/ZEN SALEM/OH/97385 ' b P p Wyest Wo n hr rtn - 76,15/h • , ^1�t uis l plant (lnrmin) 78.18/ht • — Phone: (503) 39 0.7914 Fax: (ma) 4l43— .1: , 3 . – litspactiona Mr R:o if 90,00/0 specifically listed (s6 ht ruin) • CCa I.1e.: 65444 E lectrical Lie.: 244480 Suprv. Lk: 36115 , �ICM. name PE - • $u1Notal :. , • Suprv. Electrician signature required: — . Mon rcvlewA3%ofaoauit ibc) Date: Sleio sutmbalie (12%otptmtdl Ice): Print name: � �� a � ToTAL nom. FE.R: Authorized signature: perypn applicedon oVim Ira Derma is em oblelred widths 180 • Print trams: I Date: /2y / /Z dime ancr it ben beep accepted a complain I. Numhe rornapoa :taalallowcd 13$11144Arnu g1ELC4btrott4p.doa WroNtm •i0.16ttrlttlO!lCOJtNinO 1 11111 e ° Building Division Development Code Provision Review T i c n D Residential Projects Building Permit No: 1"H froT do l L-co / F J CWS Service Provider Letter Received: Yes ❑ No ❑ N /A' Routed Plans: Original Plan Submittal Date: 7 A. 51/ � ."' Pt 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 _____1'`'" at 503 -718 - `NO or AA, @tigard- or.gov) La5d Use Case . Name bolls a Zoning X o- 7 E3 Setbacks: Front /i Rear /S Side 5' Street Side / O ..1- Garage Z 42 lEr Maximum Building Height ') -5 ' Actual Building Height — 30' Er isual Clearance B' Easements "Sensitive Lands Type: Notes: Original Plan: Approved / Not Approved ❑ Date: ?/3P//7.- 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: 13 Notes: Original Plan: Approved) Not Approved ❑ Date: / 1 L Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Ar orist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) , Lvl_ / eet Trees Protected. Trees Notes: Original Plan: Approved V Not Approved ❑ Date: i / 4.- 2/'r1(3 . Revision 1: Approved ❑ Not ❑ 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 • ❑ • Date Routed to Building: .ii • • Page 2 of 2 f ! / .4r----- e d f1 ► f -ewe -E _ L{ 6 C RECEIVED ( t-1- 50.00' - — JUL 2 5 2012 1 • , CITY OFTIGARD [,_,, 6 BUILDING DIVISION ,, � I 4,85 ! SF. ^ W 0 Ti / 3 i s ❑ Ajc, H 76 .. Inv / LIDZISMI411_4 ..,421r // 1 I , cni I GARAGE ' A /40.0.■ / h (/ 3! I • % • ' �� OVERED C .• ' p C OVERE DRI AY , i, 1 a • \ - - -- - -- a —eT— 0,': ` - - . . _ in'. ::rttr Q S.W. HOODVISTA LANE SETBACKS: GARAGE = 20' BUILDING =15' n PORCH = 12' S�r'ee_r Trre__=- R S i.vtiSci Y., SIDE YARD = 5' STREET SIDE YARD = 10 Ore STREET TREE � s la ite n ' ' SCALE : 1' [ PLAN NAME: CON I AC i s Phone-503-381-3753 2313 .wig, F 0 DRAWN: BKE ✓✓ LL r", r" � r PLOT: 1/2/12 �G/ LOT G.. mission HOMES NW , LLC. SCAL: 1- 1/4' = II-0" e63 _ _ • • .o,. ,..• 1 • Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13263 SW HOOD VISTA LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical final 05/03/2013 00:00 MST2012-00193 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13263 SW HOOD VISTA LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/24/2013 00:00 MST2012-00193 PASS - C of O Previous corrections have been completed Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13263 SW HOOD VISTA LN, TIGARD, OR, 97224 Residential - Master Permit 330 Water service 05/22/2013 00:00 MST2012-00193 FAIL Not ready for inspection. No inspection made OPSC 103.5.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13263 SW HOOD VISTA LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing final 05/22/2013 00:00 MST2012-00193 FAIL Not ready for inspection. No inspection made OPSC 103.5.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 13263 SW HOOD VISTA LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 05/22/2013 00:00 MST2012-00193 FAIL NOTE the duct air leakage test has to be done by a certified tester. I will drop off a copy of the testers list tomorrow at the residence. 1. Not ready for inspection. No inspection made ORSC R110.5 Violation Summary: Inspector Contractor