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Permit p CITY OF TIGARD MASTER PERMIT 14 C, COMMUNITY DEVELOPMENT Permit #: MST2012 -00090 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2013 Parcel: 2S104AD05200 Jurisdiction: Tigard Site address: 12880 SW 129TH PL Subdivision: 2004 -003 PARTITION PLAT Lot: 3 Project: Fleskes Partition Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1109 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1370 sf Garage: 600 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2479 sf Value: $285,225.68 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: 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: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0-200 amp: 0 W/ Svc or Fdr: 0 Ea add 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 & 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 2479 Owner: Contractor: PARK PLACE INVESTMENTS LLC PARK PLACE INVESTMENTS LLC Required Items and Reports (Conditions) PO BOX 91069 PO BOX 91069 1 Ersn Cntrl 503 - 681 - 4444 PORTLAND, OR 97291 PORTLAND, OR 97291 PHONE: PHONE: 503 -533 -8400 FAX: Total Fees: $18,298.23 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. ENTION: • -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 01 -0010 through OAR • : • 1-1091. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 Iss d By: _.....6...i—. I `laatt_ Permittee Signature: ` /Zel/ 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. Building Permit Application R ECE P !r D Oi.Paool -0000 Residential 1 � FOR OFFICE USE ONLY City of Tigard MAY ° 1 2012 Date /B : ') / 12.. Irl Permit No.: fp90 /o.'ea)/o l - .1 13125 SW Hall Blvd., Tigard, OR 97223 p� q Plan Review Other Permit: p Phone: 503.718.2439 Fax: 503.598.196t��� ®F TIGA :® Date /B : s��l TIGARD Inspection Line: 503.639.4175 BUILDING D'vIg1N Date Ready/By: �/ / � em - � luris. ®PPe Page 2for Internet: www.tigard - or.gov . .. ie. Met Supplemental Information s ®, :I ' i-#J, i u . L. w at, �• • 4%.„,4 ` k . _ i '. Le. a , . TYPE OF WORK / 0/,‘"?' I' EQUIRED DATA: 1- A 1 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. th 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 gj` Valuation: 2:2-'S. G5 D ® I- and 2- family dwelling ❑ Commercial /industrial ) El Accessory building ❑ Multi - family Number of bedrooms: 4 tY+ d ❑ Master builder III Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: 12880 SW 129 New dwelling area: 2479 square feet U � City /State /ZIP: Tigard, OR 97223 Garage /carport area: 600 square feet q Suite/bldg. /apt. no.: Project name: Lot 3, Fleskes Covered porch area: 200 square feet 17 Cross street/directions to job site: SW Walnut Street & SW 129 Avenue Deck area: square feet il �pQ Other structure area: square feet zb 1 i REQUIRED DATA: COMMERCIAL -USE CHECKLIST �p Subdivision: 2004 -003 Partition Plat I Lot no.: 3 Permit fees* are based on the value of the work performed. ff � a �� Tax map /parcel no.: 2S14AD -05200 Indicate the value (rounded to the nearest dollar) of all t equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New Construction Valuation: $ zl Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: '��- Name: . Z - Q/i ram_ , Type of construction: V Address Occupancy groups: City /State /ZIP: _ Existing: Phone: ( ) Fax: ( ) New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES" 4%\ (Please refer to fee schedule) Business name: Park Place Investments, LLC. Structural plan review fee (or deposit): h1 Contact name: Tammara FLS plan review fee (if applicable): y Address: PO Box 91069 1 City /State /ZIP: Portland, OR 97291 Total fees due upon application: Phone: (503 -) 574 -3111 Fax: : (503) 574 -3321 Amount received: ?SO "1- I d E -mail: Tammara23 @aol.com (NOT PUBLIC EMAIL- PRIVATE) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial nd residential prescriptive installation of 1 roof -top moun.•d PhotoVoltaic Solar Panel System. Business name: Park Place Investments, LLC. Submit two (2) s of roof plan with connection d; ails and fire department . cess, along with the a : •regon Address: PO Box 91069 Solar Installation Spec:. ■ Code • ist. City /State /ZIP: Portland, OR 97291 Permit Fee (inclus - :. :.. review $180.00 . iministrative -. . Phone: (503) 574 -3111 Fax: (503) 574 -3321 :. surcharge (12% of permit fee): $21.60 CCB lie.: 110507 !'At'A / iY n Total fee due upon application: : .0 Authorized signature: f ezLi 77L,Gn t t \ M-v. /Lt This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Tammara Engesether /Member Date: 4/30/2012 * Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 4613T(I I /02 /COM /WEB) 06/17/2013 12:48 5039814643 WHISKEY HILL ELECTRI PAGE 01/01 06/17/2013 14 :29 5035981960 CITY OF TIGARD PAGE A1/01 Ot1/01/2012 07:33 PAX j002/003 . � o ElectricalPet mtt ,A,pilics ����ff 1, Ire , ,11:,, I `,, i City of �'f g ..: ,ice'"L]' '1/l � PmmltNe,, .. � 5 �,,,. . d , 12125 SW Ha Blvd „ 'fl�sd, OR 97223 ICY -- 20 (2 aaviow ,, . Moot 503.713.2439 Par. 503,592.19eu Bat- Ot4etPdbdt: �Q /, mot! �� Inspection tate 5031139.4175 CITY QF ]1GARD >roulfmdlMdkaa: • intend,,,: www. �.... ;w �i ® taw eons/radian ❑ Addit / aitas t ionlltploeennent minim coo* • : met apply (9Ubat1! s afpiaml atlteme CUeetre • eetew); CI Service or Male MIempeormore ❑ Roadie's over thee train. II Dealollttoo ❑ Other: Wu=tLe evailable fmult emit 12 Wen and boet)vad,. amide l D,oat copa at loo crops at CI Flontlegfidldinge. . Ices to ground, or exceoda t4.000 0 Co,n1rmdal�eea norinulturel ® 1- anti 1- family dwelling ❑ Commerc 3llindustr ❑ Accessory building arm for CI camImodlelloea. belldllge, F Multi -f&mi . El Master builder N Other_ 011e3 pump. 0 ant lladta 071 ttvA or ..... v x can�ty dcaM R "yam" - Smetgeaysyetela, 13 Add(tloa dome mew load of C1 Ivor . "14 eMEEIIIIII lob sire address:11880 SW u9tb Si Of er meta, oceapeeotr. Six Of tsero eseld®tinl crib, 0 Reoreeuoeal **ale rub. City /Sts1rl7IP:'Eigartle era 97273 flHodeaoar fAdlitles. 0 simply voltam ihr more than 014seedom losedota• 600 volt* nominal. Soitefblttg•/apt. nn.: Project name: Lot 3 Stakes OW** or Bander 600 ..... oowad Cross street/dire tians to job site: SW WA)nut Street 9W 129" Avenue ; D... u ;w, It{ 1t+t �9 Q t Now resideetla t rilny�le- or moltl4alntly dwelling unit. l t tlae bd •. 9ebdlvision: 7:004 -003 Partition Plat Lot no.: 3 1,000 ey. It, Wets 111111111ZEII U „ ` : I I Tax nit : t :, - no.: Voted tlel ]3e. edd'I 500 ... it, or • • .� 3392 4 atitedttlt'rgy.raeldee 7330 �,� lib above Cltnitod andpy. zh r . � � IV4wComttl�tit:#lotl ,.- . : :,,:;•, . thebova s. s• - El ScrMltte or DAM Intl . , . tlienttiott, and/Or t'410Cgtion 2000111- or lcae 100.70 2 ::. 201 ., .. to400 _ 133.56 401 ems to 600 ., M 20°34 MIIINEI Nome >'1.G G-4 - i , )/02-12 f 601 rm pt to LOBO : ,,.. MN 101.04 IMINIIIE1 Ackbr.ss: ~r "" f " — Over t000erpeorvolt. — e5226 111.1110 City/State/ZIP - ligElliiiiiiiiiiiiiii Phone:( ) Fex :( ) • 200 amp orIon 5936 Owner inlltdilation: ThiS hlstdtlnlioa is Mali made on property that 1 own which is not 201 an to 400 snipe 125.09 ill itrtcnded for male, lease, rent, or exchatl);o, according to ORS 447, 449, 670, and 701. ell Da l0 599 e MO leB.54 _ Q Owner signer% Date: A. Fee thr tueaea eircuitglowt II • above service or feeder fro 7,42 Me Puniness Dome: Peryle Plate !Investments, LLC. A. Pee tat breach circuits wpM►a armies) or Met tee, first 56,1 R 111111 Contact tisane: Taro mars cite* Easbedd'I heath theft MI 7,42 IIIIIIIIM© Address: pc Box 91069 Mitrcdltteene0 (lervie a or • -.• a pet • wed) City/State/ZIP: Portland, are 91291 d m°a' 1ied or moeetar 57.94 2 m 11)na, attune and/or feeder Phone: (S03) 574.3111 Pax :: (503) 574-3321 gemmed only IIIIIIIMIlielil B•111161: or gation nude Shade gt>Zll et antitoo lighting ., . ..... ,. n Simi circuit(*) or limtteet.energy 9ustnl s not, L 1 W i 4, LL �E.dlit t a& o rl ext Inspection over • ate �U A.ddr�t: -- p6, -- ? ac _ ; . , Additional n oa (I brmtn) 6das/ , Ile Above Me17,1P :1 � (Gi J 0 C.V., "745 lnvect)geston (1 hr teat 6655! ]rc City /St 'movie.' pima (1 hr min) IIIII * Phone: 5 '835 - $1- r,f 4 t , 1 Fox: ) - 5"81 1 144 1 5 In9peclitenmewhidhno'tale 911,tmrm EMI CCA Lie.: j 4 11 S .G 2. L ,.� - . I . • , _ 4 Suprv. I ice b{� tZ+aA1 a s.. 6e , , � 44 Sup rv. ElecMeintt signature, required: ---r' 9 °t 1,' M [� l NM review (2936 of • Print name: Q1 144- - •2:4 >444. ,..., w ,i,6 sp e, Dote: State su ellntwa (12%of r lmrttlit$Ap : � Authorized signature; TOTAL PERMIT PM: 6 U`7 2 _ tale • • . � avonesttaa worm If • penult to Ant et wined width fee Print name:. pose mots ever ttsew her emoted eeeompkto. ' Moller cri tps:time nitowed per pmmll rfazurneocrodearehurtmenp,doo a a, n 4404e1rTt1 rmA1C01 M413 Mechanical Permit Application FOR OFFICE USE ONLY ' eceived Per mit No.: City of Tigar L.'te/By: S/ a �6 . A_att %D 13 125 SW Hall Blvd., Tigard, OR 97223 Q 7 C . Phone: 503.718.2439 Fax: 503.598.1 R E CE r y . ; Other Permit: , � �� ,/ -MO TI G A R D Inspection Line: 503.639 MAY e 1 2012 Date Ready/By: Juris: 0 See Page 2 for , Internet: www.tigard-or.gov �a OF Notified/Method: Supplemental Information OW OF ilr2A , f) COMMERCIAL FEE* SCHEDULE – USE CHECKLIST TYPE OF WOR a � r j , - %' s w l�mie.+� 0 'ti ijoiv 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* ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 12880 SW 129th (requires site plan showing placement) 46.75 City/State/ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts/vents) 1 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Lot 3, Fleskes Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: SW Walnut Street & SW 129 Avenue 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: 4004 -003 Partition Plat Lot no.: 3 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: 2S14AD -05200 Other fuel appliances: DESCRIPTION OF WORK Water heater , 23.32 Gas fireplace /insert ‘ 33.39 New Construction 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 p Other: 23.32 Name: . (, c Q o , i S -f Environmental exhaust and ventilation: Address � —�� Range hood/other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 I I C I , (CO ® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Park Place Investments, LLC. Other: 23.32 Fuel piping: Contact name: Tammara $14.15 for first four; $4.03 for each additional Address: PO Box 91069 Furnace, etc. 1 14 l•5" Gas heat pump City /State /ZIP: Portland, OR 97291 Wall /suspended/unit heater Phone: (503) 574 -3111 Fax: : (503) 574 -3321 Water heater 1 Fireplace E -mail: Tammara23 @aol.com (NOT PUBLIC) Range 1 CONTRACTOR Barbecue Business name: Park Place Investments, LLC. Clothes dryer (gas) Other: Address: PO Box 91069 MECHANICAL PERMIT FEES* City /State /ZIP: Portland, OR 97291 Subtotal 1 2-)C70, 9q Phone: (503) 574 -3111 Fax: (503) 574 -3321 Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 110507 State surcharge (12% of permit fee) 5 , 17� _ �f /,l / TOTAL PERMIT FEE 1 1 1 dLL 7 6. C � L L T his permit application expires if a permit is not obtained within I 0 Authorized Si a[Ure: Y G days after it has been accepted as complete. Print name: Tammara Engesether /Member Date: 4/30/2012 • Fee methodology set by Tri- County Building Industry Service Board 1' \Building \ Permits \MEC - Permit App.doc 03/07/12 440 -4617T (I I /02 /COM/WEB) Mechanical Permit Application - City of Tigard tY g Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC- PermitApp.doc 03/07/12 2 05/01/2012 07:35 FAX a003/003 Plumbing Permit Applicatio Building Fixtures fiECEIV I•ORR t)rrl( :I: ;si: O City f Tigard MAY - 1 Reeei"ed 0 P ermit No.: ty g 2012 Date/B i l �- 1`�So /� - COO 90 1 - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review nn^ Phone: 503.718.2439 Fax: 503.598 D B y: Other Permit No.ACO� 49. Q�77 Inspection Inc. L 503.639.4175 OF TIGARD TIGARD BUILDING DIVISI Date Ready/By: Jana, See Page 2 for BU I Internet: www.tigard- or.gov Q S Notified/Method: Supplemental Information ...,__.._..,, .menace -� x T l, e T a saw ::� r { :: r 5:1 T ` � « 1 - r :iti r i(E z � r,, ry ,, i r t] i �5 . .. t 2. , � ; z i sf : t r .. :', . , c., s t 'Sds • ;� �.,�(s��s i9t. �.�! _..?m��1:^y _Y_s,�. ,. ... ,.r �.y�.�.`.. 9:7 '4� .�� .r.,: . ... ...: �.'^_F. .�'- � .•t.��..?z }.�.!..i7a �l�'S,�,'��h,. -:: :-�f r .. .._. ,.. .. ...a,.,.,.._M. -. ._r_.- �. -f:-� u rrm.a ® 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) X91 iti i � ` I r �xt � d^h ar Rd c ,,,...,m1-12T,11071,1%; yt n g e t a a �t1e�fi k7cl`l1 ot241�Y .`` 8 ., "' rt>+ r j5" . ggr r L SFR(I)bath 312.70 l w � .i, .�.,r.. ,.. � ' r . :� .crxuct ..: �11 :`4.. � _sr_..�.ao...�U,t�2 , un,�,�.. _ ® I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 12 Accessory building El Multi-family SFR (3) bath t 500.32 Each additional bath/kitchen 25.02 , ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft) Page 2 i r.� r.. - ,'" 7 g*, re 7 - s+rl � r a _ p itia 0 , s ,, 1 , ; .,� i l ' - Site Utilities ±.,. - r•,�,. , J ti ��.,n., .':; tF "+-� , : x.. ..... i s 1� ....r._Fl�' . ,t,. ! ,... �.. .., i .. . ^ � r Job site address: 12880 SW 129 Avenue Catch basin or area drain 18.76 City /State/ZIP: Tigard, OR 97223 Drywall, leach line, or trench drain 18.76 Footing drain (no. linear ft.: Page 2 Suite/bldg./apt. no.: I Project name: Lot 3, Fleskes Manufactured home utilities 50.03 Cross street/directions to job site: SW Walnut Street & SW 129 Avenue Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: 2004-003 Partition Plat I Lot no.: 3 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 a1aQ r 1� �s�l �� ee sitr l a t G sac r �� r^ r x �y I - 12.51 t t 4 'lf 3 n 117P lrw. n } Y -t `. R•P5 ¢ ,,, '�M F" t , '� ._ b.� 91:4 _,. t - t ??` -, . - ?n,i_waAl4�w ��� n'; ,r Clothes Backwater washer 25.02 New Construction Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 $, •' - -g-..� t I rM i s '�_ e tam'°`. r . ".'s3 �'' fw!' s ^ E t+- p .,._.. 5 ;iL11 ...ti.:a ,.ir ; : -.1. Expansion tank 12.51 _ :._. ' �. >_r.....,..f....l�r.:�� _t"�� �_, ter. si? _r; Name: m.e a Q �s /'1 n 1 l t � Q N •J� FixtureJsewer cap 25.02 / Floor drain/floor sink/hub 25.02 Address: - ` --- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 '�C I ^:u�'u•" r i a Y h - - �. � 'x / t; >ts sue' : E f ` � 11 n � t «a r ,fi".T l Interceptor/grease trap 25.02 Business name: Park Place Investments, LLC. Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Tammara Roof drain (commercial) 12.51 Address: PO Box 91069 Sink/basin/lavatory 25.02 City/State /ZIP: Portland, OR 97291 Solar units (potable water) 62.54 Phone: (503) 574 -3111 I Fax: : (503) 574 -3321 Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 Ifrl�"5..1".r''Iici' =.-'' .. £. N y �. ^•'G.rsTsTl� ' ,�N S ryS.a - �''.a�t l Water closet 25.02 �e'_ Ocili3,ccr�.w .,fil;rt:I:.,. >..�' ._ ,Aiki r _ ` _ 4 , _ ... i..-k; Water heater Business name: MAX Plumbing Service 14.4, Water Water pipirt@/DWV 56.29 Address: 1 °d t PO 6,0)C i55 I Other: 25.02 City /State/ZIP: Vaticouverrs63 '''' fat) faro r Q/L (170C4, Subtotal .1-- ;?jZ Phone: (971) 275-0198 Fax: ( ) `D g 111101 Minimum permit fee: $72.50 P g Plan review (25% of permit fee) t CCB Lic.: 194644 7/04 ? Plumbing Lic. no.: D State surcharge (12% of permit fee) t ,04_ Authorized signa� / TOTAL PERMIT FEE 51:13 , Print name: Date: 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. 1:1 Building \PermitAPLMU- PnmitApp.doc 10/01/09 4404616T(10/02/COM/WF.B) ADDRESS: /Z050 SW ,Z 7 T !! Pz.,f96 . , • .,. . . • i EC EiVED MAY - 1 2012 CITY OF PGARD BUILDING DIVISION ■ t „ PARCEL 3 47 71 FLESKES L .Dc.tietvcrP -1 7,519 SQ.FT. 1 ilk 64.17' AININ . ‘1111r --A• ii b o . - EL=270.5ith ■th W/0 niF :. 0 Nt IT i.- • tract "A" ---- . • b 71------ N __ ci J j a 1.... COVERED //, /// / •' /V / i , ,/;/ ,e0 CC; .. - 7..e.72 1 -) 1 PORCH .,". //// / . /,/ ,/,/' /1 :// '/ CID = Q _..._.___2154 ,■.. // //' /. / / /1-L 15' - r7,-. 7 , / SELLER Y / '/ ''''. / EASEMENT /, ..' / . 2 .,-/// '2/ ?.‘ ./.// . / -,///,/ • ' /, /2' . ,--/ / ///. j.. / -8'1 DRIVEWAY -/ / / 3,9 7!..nAnwes.;/ , _ 25' /'//' //// :. ' / //// ,./ . .. EL=271 i<Xg x X k it k ,v 1 N W t E S Et (ci ,4 ; iveede,6 SCALE = 1"=20 ._. .. _ PLAN NAME: 2479 PC3 .• E Drafting Corp LOT: 4/2 /12 PLAN 1)„,,, Iriace Ileives!nients, II c .__ • . Pa fir,. 91369. rbuarri, Orez, 97291-0009 • RE Y: 4/23/12 • . , • RECEIVED V MAY - 12012 Building Division TIGARD CITY OF TIGARD Development Code Provision Review BUILDING DIVISION Residential Projects Building Permit No: � o 1 oZ -coo 90 CWS Service Provider Letter Received: Yes ❑ No ❑ N/A Routed Plans: Original Plan Submittal Date: S / " 1st Revision Submittal Date: 5 8 9 ❑ 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 Cr A ►Z \ at 503 -718- 2 3 ( or ' • @tigard- or.gov) Land Use Case No. 1�-P -/s" nit 0 j , bb 'O -_ =` . L� / 3i Tr7to1i' ,L f4'7' El Zoning /2-9.S" ?I& ' S p1l.a o 1 07 ,.O " Front Rear 15 Side 5 Street Side N Garage 2 0 E Maximum Building Height 3 Actual Building Height 26 ❑ Visual Clearance .E Easements /14 ❑ Sensitive Lands Type: "/t Notes: Original Plan: Approved.' Not Approved ❑ Date: i 3 / Revision 1: Approved Not Approved ❑ Date: 572. Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) d Actual Slope: ' Notes: S 5 rD —_ end-) p,](E F LOT ' g-fi. / i A -em `A-s - 3,'e (-7 4. Original Plan: Approved Not Approved ❑ Date: S /�v Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: • (Review Continues on Page 2) Page 1 of 2 • City Q rborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) L Y J treet Trees Protected Trees Notes: ' �t-/ - . s ` k p e n ! - k 0- �a �� u, f 1 th, �.,., Cu fro -147 � 4211-/ () Yt✓ut f rofe 6Crc: to . N . Ca - Jr, . y1'r Original Plan: Approved ❑ Not'Approved ft Date: /t12.ii� Revision 1: Approved Not Approved ❑ Date: y91,90 13 f{; Revision 2: Approved ❑ Not Approved ❑ Date:. ' t ` Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert @tigard- or.gov) 4.. .❑ Conditions of Approval Prior to Issuance of Building Permit ';' Notes : y . i Original Date Sent to Applicant: • ' ' Revision 1: Date Sent to Applicant Revision 2: Date Sent to Appli t n A , Okay to Issue Permit: Yes No r, ,` � • A r Date Routed to Building: 1, . • y - �' r .,,7, ,`, k'. I . , . , _Page 2 of 2 ' i � / ril p 8 " / o ij ij ,..,. , , a r ti 1 1:5x r F— 9 -- GAS U' / D % 1 50 D• I a. % k K g5 a.� �_ �1 V i Il m r Q l 8 i I f a .. 0 r 7C l ' i 2-K00 i — ; f ": / /JOB • — X .9 ffi o-� 20 LF x 4 CURB il r r D VI � N 1 i mFii gi i 1 11,11 i p i ? 0 4 2...1 gm2 iv r % � z P I _ II i I '• — PRIVATE �i � . J 9634LFX10• ADO N42 .7i I *II t / r, l • • II LFX RI + 0-3034 PVC „ — — Iii t li G • 290.62 I Vii. APti T j ftoll 8 if I I Rai i! d ' . 7 4.1i N O B'3&O2 W 13167 O • lts i (( • y�� 5 ' 1 1 •d k REVISIONS: POSED UTILITY PLAN AND PROFILE AS BUILT - 12 -11 -03 W WALNUT ST & SW 129TH PLACE DRAWN BY: DJIA CHECKED FOR DATE: 3 -20-02 SCALE: 1• MICHAEL J FLESKES PLOT DATE: 11-14-03 _JOB NO: IN THE CITY OF TIGARD, OREGON Z d F: \01- 000\01 -On ecivNO\a 9 Jo / A•d Copp"! •aflqLi ■ TRANSMISSION VERIFICATION REPORT TIME : 05/3112012 14:23 NAME : CITY OF TIGARD FAX : 5035981960 TEL : 5037182449 SER.# : BROH7J690762 DATE,TIME 14:22 FAX NO. /NAME 5035743 21 DURATION 00:00:43 PAGE(S) 03 RESULT OK MODE STANDARD ECM City of Tigard mi 13125 SW Hall Blvd. Tigard, OR 97223 a Phone: 503439 -4171 _ TIGARD FAX TRANSMITTAL Date May 31, 2012 Number of pages including cover sheer. 3 To: Tammata or Ronnie From: Debbie Adamski Co: Park Place Investment`s 1.I,C Co: City of Tigard Fax #: 503 - 574 -3321 Fax #: 503 -598 -1960 Ph #: 503 - 718 -2450 SUBJECT: MST2012- 00090,12880 SW 129 Ave MESSAGE; Attached are the submitted application forms for the plumbing and electrical work associated with this project. We require that the applications have authorized signatures. For the plumbing application this needs to be someone in the employ of the plumber. For the electrical application this needs to be a signing electrical superviso.t. We can accept faxed signatures, they do not need to be originals. We will need these signed application forms fot our files before we can issue this permit. The signed forms can be faxed back or you can bring them in when you come in to pay for and pick up the Hermit City of Tigard NI 13125 SW Hall Blvd. Tigard, OR 97223 • i Phone: 503 - 639 -4171 T I GARD FAX TRANSMITTAL Date May 31, 2012 Number of pages including cover sheet 3 To: Tammara or Ronnie From: Debbie Adamski Co: Park Place Investments LLC Co: City of Tigard Fax #: 503 - 574 -3321 Fax #: 503- 598 -1960 Ph #: 503 - 718 -2450 SUBJECT: MST2012-00090, 12880 SW 129 Ave MESSAGE: Attached are the submitted application forms for the plumbing and electrical work associated with this project. We require that the applications have authorized signatures. For the plumbing application this needs to be someone in the employ of the plumber. For the electrical application this needs to be a signing electrical supervisor. We can accept faxed signatures, they do not need to be originals. We will need these signed application forms for our files before we can issue this permit. The signed forms can be faxed back or you can bring them in when you come in to pay for and pick up the permit. If you have any questions regarding this matter please contact the Building Division at 503 - 718 -2439. hENGWAX.DOT CITY OF TIGARD BUILDING DIVISION PERMIT#:MCI-c1013.-OOO I� 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: I,_ 1 _ 0.013 TIME: PAGE: SITE ADDRESS: 1 D S,(u, O .q-k PL. CLASS OF WORK: SUBDIVISION: LOT#: TYPE OF USE: PROJECT NAME: T lavek Q(_ o i a-_3 DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 11- l -aUI 3 Pour Time: Code # Inspection Description Confirm # - Contact # Message 3qq Corrections/Comments/Instructions: C cAk dtt.)wA 3 C�t� �we C/o 4 a4$,4' About pZ1 Jr- bocity g-0.4 4,5 $ ��s¢ t'eSa//I cP a Ea c_t4 Vdefi cc-0v 1 trrrlv't Ileti ca Jk avoc I bi e of 64 4 Ste, ccv— mas 1, heg 11-4 cAit ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Al FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _.J o \ S Date: - 1 aV 13 Phone #: (503) 718- 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 12880 SW 129TH PL, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final 2013-11-07 00:00:00 MST2012-00090 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12880 SW 129TH PL, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final 2013-11-01 (null) MST2012-00090 PASS Violation Summary: Inspector Contractor 06/24/2013 13:23 5039814643 WHISKEY HILL ELECTRI PAGE 01/01 1,... / Y OF T PAC*. ai r y 05/17/2013 14:29 5035981960 t , a1002 /003 OS/01/2012 07 :33 PAX u se 'caI Permit Appti t• C I ED I ,, :+.; ; ,,,,L., City of Tigard 17at • • l!' �!�►�f -I ( 13193 SW It s1191v& Tigard, OR 9722 AY — 1 2012 . • r tttx Pende ■ P,.r O�, - 77 'I • ' Phone: S03.7181439 Far 5U9.59B.1 - TnspeatltM Line. 503.639.4175 A° RQ°° F Ttltetrlat; atontossr i.,60v CITY Q TIGA "Q NedtedeMnhmf Add ition /tUtcrdtlonh eplacemC pion owe au tt ot+oply (submit 1 +ofr�ae vrllae0111 el:ee1 Weal > 'Neva canstrnouori L� El Service or Maw 400 mere or mare 0110441an over dace reads. IR Demolition © Other" v moths wells bte fault eamrom fl mom raid b0eyctb, + el md410.000 carp re 130 mks or (] pirating buildings, • ' , I� W wand, or exceato 1,4,000 CI Col�trndai eta agrieuiteral (� 1. mid 2- 9enily dwelling ❑ Commat I/tt'nduslrial ❑ Accessory building was for An odic Medlin one, eendinge, PO hittlti•thrni CI Mester builder r! Otter: C I1bealleden et 75 EVA O roman . toner CI Addition of Dour MAR d CI "A" P "1 tel . '• .:. 100th ar mere. oasarnaeY, Job no.' Lot 3 Jnh site addteas: 110 SW 129th ❑ Six 0e rase tenldeatial noes. a Recreational willow pada. 1:114412b min inn racaitles. Cl 91mpty voltage far (term sun City/SteterZ i : Tigard, OR 97223 ❑ Hose me tocatlow. 66o w h moral no . Snitolbldgintst, no.: Projeet mono: Lot 3, Ficeleea © &wive or feeder morays et amen. Cron Stree t/directIon i to job site: SW WA1nnt Street & SW 12.0 Avenue ' 7 AGE N111ii New residential single- or i naltlatntly dwelling MI. Dieted ea Attached Subdivisitnn; 2004.003'Partition plat Lot 3 1 00oaq, ft. or Iwo 1111EIIIIIZWII3 Ea, rill S00 •. • • • r+�l� retied new lakiend 1 I T5t J • .. 1h stwre :, ft. 4 mI(S amp, fear • • 111 75.00 MU r.t. with • , - .. R. SON : o , ,. dens tnafami 1. • • atteratio : ndler • , fine 200am., 111111 I0•7a MUM III 20t em• te -• EINECIIMIElli {{ 401 amps to 64A amps IM 200,94 IIIMIIEI i 4artIC Dl� f r� 1Wit..toI, a . w 201.04 B I i Add ---72:7=— y r- r over 1000.., .. 43 vain OM 532.26 Temporary 'emirs rs er Rears inet>,tlat1on, alteration. attulor City /StomoZIP remotion R00 mpSerleta � • I Mery ( ) 201 etam to 400 amps 1.1 125.48 — Owner installation! Th]S installation l9 being rinde on property that T own w, ch iS not 401 ,,, eo 599 , 1 © intended for Salle, lease, felt or exchange, according io ORS 447, 449, 670, and 701. Enna j: „new Mown {_ or ,, -• ,•,:. • • ,,_ Corner signature: „ ��_ . Date: At ' -- for meth c(reltlts wits II ebevc etlruiee or fl:eeer i}r, 7,42 1 - , I each brrmeh dram! )3uslnesa antic Perk Place Invoatmeote, LLC. b, Pea for or c , to gagamer - 1 tlCrt+lRl Or lRoder ifee, 419t1 Centeet name: '7Ammar* • . eh dwelt 56.1R Each sift Soften nisei MMIEZZIIMEMEI Addrags: PO 11.01 91069 v lacelt9l • :::..; or ■ .::i•1 miliaria CIty /SisttelZIP: Portland, OR 97291 �_ , setvlce le r 111111:31111113 Mom: (S03) 574.31111 Pax:: ($03) 5744321 ireeormeet only IIIIIMIIIMIIIII3 P • Orint3 qm chic INN 6714 MEMO 13-mtd1: _ Sign maatlioe :+..,,, IIMIKE111.111111113 .rv L. Sis cka b(!) or Ue1tRd- enc'2y �� Ses tone. ),,,.,a) 1 41 LL ,f... , `Zi. , . &non• credenmen. • iddieonM ins , , • , 4,.. !WPM , 0 in a Of'the a • • • � • Addrea3: --- P0 7 act ` . • , Additional Int(peettce(I brittle) 66.25/1u �111 City/9taterZ P: ] lovadgeaon I hr min 9623 /rir MINN Ms +—. : ,: / I,. €- Indtgtriol plot 1 hr min - 70 .t el hr MEIN Phtme: 9 3" 1 3' 1 'ry 4Y Find: ,• " inspections tor whiahnetteis III mow hr 1111.11 F. • + call !l,_� hr , cc8 Ltc.:1 40,1 ss �•t - . i . ' 'r 9uprv, tic.: 14 `� ! 1.� 4 Stdmltal: EMAIL"! Electrician Slgnatere, required: Pion Itivlew (25% of • -omit foe , Print nema: C ` - au,(b a kt 664p t3 Date; , . L � AiIthotizedel}lnettuow lrhie erre irasroltatte 0 T aPSt?.11drrs : ia=T wuiaai IRO p enemft Isnet stlta ne4 Mattis RO days*fl rlt hi* hemaceetrteel Racomplete Print woe: pate: ' teertnterarlmpemioaesttesed per permit Ilicitc"4" moteme f ciii"A eca 0710!/10 4te.e4111(11/0S COM/w00 Oregon Residential Specialty Code N1107.2 HIGH-EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: °T? /(2 • tl (��Jurisdicti 3 on: Site Address: 1� 'CJ+ — l 92223 3 Subdivision/Lot#: 2 _o 3 41. bay /a. and/or ) f � �0'T --- '� / Map and Tax Lot N: -° � ��!' � �'77 :71-;ay/ By my signature below,I certify that a minimum of filly(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)1 Signature: k- 6;, c J#i v. Date: // • 2-/ Z- 43 • ttartevAutherizim A Print Name: 1 t its �)C� [ y1 I C : �...'.... ORSC Section N1107.2.Fligh-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 filly percent of the permanently installed lighting fixtures are compact or linear fluorescent.or a minimum efficacy of 40 lumens per input watt. 11HuildingtFormi d2l?i-I hghfilTiciencrl Oung.doc 07/01/08 HOME Certified,Inc. Monitoring Report Customer:Park Piece Investments t1C Street Address:12880 SW 124th Place MC Goal: 18% Start Date: 5272015 Sales Order A: Subdivision: LotiOnit C: City: Tigard,oR Completion date: 827/2513 PO ti: Cross streets: Site Supervisor:Ron PI-14: 503-380.2988 Cart:Expected Date: Price S: $400 Date Moisture Content Readings 8/27/13 924 15% 15% 15% 15% 17% 16% 15% 13% 16% 16% 15% 15% 16% 15% 16% 15% 15% 17% 17% 14% 15% 14% 15% 15% 15% 16% 14% 16% 16% 15% 16% 16% 16% 16% 15% 16% 15% 14% 16% 16% 16% 16% 14% 15% 16% 15% 16% 16% 16% 16% 14% 15% 14% 16% 16% 16% 15% 15% 15% 15% 15% 14% 16% Crawl Space 8/27/139:31 15% 16% 16% 16% 16% 16% 16% 16% 16% 16% 16% 16% 16% 16% 16% 17% 18% I 17% I 17% 17% Livin•s•aceE•iii•: Garen • €pwR � 5,ab ti v • ': r''' y7."' �a..Y . . . - - ,, - . • Aer'msa,on mW us r.mr5 time crying). x Notes: Qawi tesengldrymg: X ,eertesEne ns: r i 9'r aZ G(2.- o 0 07 U Water Damage: Sneetrock crying: Studscr_bang, ( n50 c (A/ ( L P L— Cer57we[a Si Moisture Comers: Omer: Eecaic treat: �Visiittat�iioon: (,,,� Contractor signature: �J'�'� Slt`lr'" Date: earners Customer signature: t'"'"J- Dale: W27ne13 Curt Kaupe See terms&conditions on back Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM 1, P/90/.,72//9C-4-7 2A/V •, am the general contractor or the owner-builder at the following address: • Site Address: 12 O Su: /2 � (E" City: 1;61)-2 D.4..._...- '.......'..---- 9 /222f."-3' Permit#: in 7. 2C/Z _G'DC k.? Subdivision/Lot#: z00z/ O D 3 - _;h N and/or )-07 3 - r/C75k.F.5...Pa.en hl/�11 Map and Tax Lot#: To conform with the 2008 Oregon Residential Specialty Code(ORSC),Section R318.2 and OAR 918-480-0140,1 am notifying the building official that lain aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R3I8.2 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: i .jP��7 C(°yu'o.�n4-. L (.�' •,!� Date: 9 � 70/32 I:Vfuilding\•orn\RES-MuistureSensniveWood.duc 09/25/O8