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Permit a CITY OF TIGARD . MASTER PERMIT 1:1104 Is : COMMUNITY DEVELOPMENT Permit#: MST2013 00181 T t G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 2S112BD07700 Jurisdiction: TIGARD Site address: 7790 SW HANSEN LN Subdivision: BRITTANY MEADOWS Lot: 13 Project: Brittany Meadows, Lot 13 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1683 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 19 Bathrooms: 3 Second: 1028 sf Garage: 410 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2711 sf Value: $317,566.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvelFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&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 2711 Owner: Contractor: PACIFIC EVERGREEN HOMES LLC ALAN NATHANIEL GOFFMOORE Required Items and Reports(Conditions) 7410 SW OLESON RD#133 13950 SW BARLOW RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97223 BEAVERTON,OR 97008 2 geo tech report required prior to footing inspection PHONE: 503-664-6423 PHONE: 503-664-6423 FAX: Total Fees: $21,441.90 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a • all •ther 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, •r if ork is suspended for mor- e 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce ter. T:` les j:re set : 'h in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232(198 • ,�•• < .2 T. Issued By: `'� ` ermittee Signature: /// Call 50 . . 5 by 7:00 a.m.for the next available Inspection d. This permit card shall be kept In a conspicuous place on the job site until com , on of the project Approved plans are required on the Job site at the time of each I .pectlon. . J Building Permit Application Residential WE FOR OFFICE USE ONLY• City of Tigard Date;(3 Received - 3 / 7 Permit No.://y/4t7/3 1/5"/ ■ 1 3 1 2 5 S W Hall Blvd.,Tigard.OR 9(r i 3 p ?013 (Nan Revie r..' V 540 24;—00/69 q4i 'd� r l/ Other Permit: v Er Phone: iO3.713.2d39 Pas: iO3.i ,1 60 Date/By: Inspection Line: 503.639.417> Date Rea /:•: fi I Juris, See Page 2 for TIG'ARD .�+�OFTI'map Notified/Method°423 Supplemental Information Internet: www tigard-or.eov CI l l BUILDINODNISION V;vLi9-GE TYPE OF NVORK "I REQUIRED DATA: I-AND 2-FAMILY DWELLING Permit fees`are based on the value of the work perlbrmed. ®New construction ❑ Demolition i Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: j equipment.materials.labor.overhead.and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION j Valuation: s (7`ak,(•S 111 I-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: 4 ❑ Accessory building ❑ Multi-family Number of bathrooms: 3 ❑ Master builder ❑Other JOB SITE INFORMATION AND LOCATION Total number of floors: 2 New dwelling area: 2711 square feet .lob site address: 7790 Sw Ilansen Ln City/State/ZIP:Tigard,OR Garage/carport area: 410 square feet Suite/bldg./apt. no Project name: Brittany Meadows I j Covered porch area: 25 square feet (028 Cross street/directions to jot,site: 79th Ave Deck area: 402 - square feet Other structure area: 'Z1 square feet lC REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Brittany Meadows I Lot:to.: I3 Permit lea'are based on the value of the work pertbrnted. ins Cate the value(rounded to the nearest dollar)of all Tax map/parcel no.: i equipment.materials,labor.overhead.and the profit litr the DESCRIPTION OF WORK indicated on this application. Valuation: S New Ilome I I Existing building area: square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name: Brittany Meadows LLC Type of construction: 1 I Address: 16615 sw Maple Cirlce Occupancy groups: City/State/ZIP: Lake Oswego,OR.97034 Existing: Phone:(503)781-1981 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* -- (Please refer to fee schedule) Business name: Pacific Evcrgren Homes LLC Structural plan review fee(or deposit) Contact name:Alan GoffMoore I Fl,S plan rcvio\ fee(if applicable): Address: 7410 Sw Oleson I2d Suite 133 -- _._ fatal lees due upon application: City/State/ZIP: Portland,OR.9722.1 .�j DO -- --- --7 Amount received: I i'r 7 - Phone:(503)664-6423 I Fax: ( ) PIIOTOVOLTAIC SOLAR PANEL SYSTEM FEES' E-mail: AlangoffMoore(u-itmail.com Commercial and residential prescriptive installation of CONTRACTOR j roof-top mounted Photo Voltaic Solar Panel System Business name: Alan Goff∎ oorc Construction — I Submit two(_ = of roof plan with connec 'l details _-- and lire department a • s.along will - 2010 Oregon Address: 13950 SW Barlow Rd Solar lnslallation S ecialty ••• tecklist. —1 j Permit Fee(inclu.• plan 7,4411 5180.00 City/State/ZIP: Beaverton. OR.97008 an .ministrative fees). Phone:(503)664-6423 { i I'ax ( ) _-- I State surcharge(12%of permit fee): _ S21 60 1 i CCB lic.: 187268 G' _ - / , Total lee due upon application: S201. /�� This permit application expires if a permit is not obtained Authorized signature:/' ✓" / • — !. i;hin .30 days after it has been accepted as complete. l'cc methudolosy set by Tri-County Building Industry_ 1 Print name: .klan Gofflloore I Deic. 7/29/13 —J Service Board. !:\Buildar_'•Permih,BUP-RE_SPerntitApp.doc 02/24;2011 440-461 3T(I 1/02;COM.;WF13) Plumbing, Permit Appli - EIVED Building Fi:itures .•-. _,-. • •-. . --. --FOR OFFICE USE ONL'iZ' • - • I , I • - • . CitY Df Tigard •••,. i -.■ :312'5 Sil;:"..7.1:Sivd.,Tigard.OR10/23 3 0 2(113 i Tz;-,•7';'-,:: 7 30/5 ,c ,a) ',',=--i',..,kir-,va 3-co/g/ • • P:cs.a.r.:in, -:' • -.-:..., Phor.,:: 50.7:8.243; '....int:.-3 .41:4,91Tv nc TIGARD :).::e Pe.:c...;:i,, ..:or.. , F.:See?age 2 for '.., -axe-_,7-97? ...:It.:7r.::: y.,,.•-•..:•...;::•sc-or.g7- '1,1 i 1%RI , •••_••••••• ••• Suppiemental:nit/mat:on - ...enPE .• -; FF.E SC,I-IEDC LE. - • - . .,.' i , _•.--:. . . '2,.:3.3.'GOIStrl:t;I:011 1 0 1)ernolition For special information ase checklist. • I 1 Description i Oty. I Ea. / Total i 0 Additionialteratio•-dreplaoement 1 0 Other. i New 1-2-family dwellings(includ:-.s 100 ft.for each utility aennection) l .4.7•CDR.Y OF' o'.,c§Tii.i'fc-ribx,.--::- ." :, .' I SFR CO bath 'I, I 312.70 1 SFR(21 bath I 1 437.78 1 •oz•id 2- lily dweliina 71 COMITIClallindusnial SFR(3',•bE.th i I .., 500.32 1, • L. Access:17;bui■ii::.; 0\,luiti-family 5 add:Aim:E..ctlif.<,,chen : ' .02 !-- Drher: . 7ire s7,:inIi:er,____.sq.::.; • Paae 2 , SOB SITE iNFOR.31XFK.rs-. ..)...,D LOCTION .....,:::::::::::::s: •.. Ilde.72" -7 77 C) _,z-. S'...,.....y ,s;./„..95F.,\J 2.....ij . . ' -.::ne,a:i:-.!:-::::::::;-a::-. 1 1fS.76 i Cl;:•,'S-57...:219:TIG. RD,OR . -- -. l',:.:3.ir.g.z.".-•::-...,......- 'il;:n7"... i , . Paae 2_.■ Suiteolde.fapt.no.: 1 Projec:narrie:BRI ri-A NV N1 - -t EADOWS Manufar..ured home L.i:iti::s I ; 50.03 1 • .• I.Cross streeddirectior s to job site:' I • 7 9411- AVE 1101..:.; i . • , S_ie.r•ua:y se-N-.i:•7.-.-r.1:n2.7x:'IL:___.1 : : l 8.76 i 1 Paze 2 1, i'ziac 2 ! • _ l....r.:BR:r1 iN%-. rrapf2a:cel 2.5 ! • -- .. - •.-':-DEBCRIPTION OF.,ViSORK.- . .-. . . . . I,- . . -■ ; '-ia''''''''211.''''''''' , _• . •_ ' ' I i C.uthes washz: : ; 25.02 '! i 1 NEW HOME 1 i Dishwash 25.02 er I I I I I ; Drinicng lourir. r 1 25.02 i '. _E;ectorsisur.-..,:. i• I 25.02 I . • , 11-.":- ..:.--.1'• P ? 1a 0.1.1t" E -: . -1. , . .:-. '• n TENA..\T......, ' ' ..:.v.7,ehsiciii tank I 12.51 Name.:BIRTTANI MEADOWS LLC 25.02 I • • Sir!.:).:.;:b i ■ 25.02 1 i Address:16615-MAPLE CIRCLE . --- _ C.33.7.7:.:2,.;: S'O :::: , . 23.02 1 . i C',0•--,t?teiZIP:LAKE OSWEGO,OR..97034 ;_ lios.::...,:b : 25.;.;2. i . i ! ?hone:r.503)78 - 932 I Fax:k 1 . -- . ;S1.AP.PLIC.AN.k...: . t . : .5,::;:. CONTACT,I•EPSON., . . : .7.i,- ••:-.:-.-J,.--,-,:.: • ; ! V..taizai,.7.23 ..:Ua: PIge 2 ■ Busirs name:PACIFIC EVERGREEN IlOME!...i_.I..C. .. ■ 12.51 1 i Contact name:ALAN GOFF:MOORE -________ _.... .,-::: .:7.:r..:-....:..rnzrzi:-... ' 12.51 Adrins:7410 S\ OLESON RD STE 133 _ _____ -- _.__ ' S::,....-1:-...bir.-'a"....:•:7, ' 25 o2 i _1 CityiState:Zi?:PORT1-4.ND.OR.97223 '4: .7.:7' ?hone:;503-)664-6423 ! i:x::( ) , 1151 . . _ ._ .• E-rnaii:Al_ANGOITMOOREGi-4AIL.C.;ON1 ... 2 . . ; . ,V_:::?.7...,.: . 15.01 1 ----! : .- - •. CONTRACTOF, - . 3 • . . - 1, lv'--"er: atz, , I 37. 2 Business name:EDWARD MULLEN PLUMBING pipin 6,29. oirf...;■A' ; I 5 i . 1 Address:1601 SE RIVER ROAD '; ; 0:i-.c r: .._ . . 1 25.02 1 : Subtotal 1 I City:State:Z.1'P:HMLSBORO,OREGON 97123 i 1 ' ?hone:(503)640-0113 ; COB Lie.:92689 ufriorizt.:1 sig.7z.tui•::: - F;lx:k50.3`,640-1-1S3 i • 1 I 1 P.urnbing Lie.no.:34-260PB _ 1 -.------- ' - -.. i '../2 Minimum.perrnit fce: S72.50 ?Ian review (25'.of perrr.i:fm) 1 S:zite surcharee i l2.%clam-tit fee) 1 I :.".. • .1 71"' ..." ------- .___ TOTAL PERMIT FEE I ■ , ii---7....- Prim.r.-ame:RA't• N11:1.,LEN / ! Date:Z...._),...-.-:, 1 h.:larm::a ppl:c.::ion expires if a perm it ES not obtained xtithin ISO days - ../''' ..fte:•::.12S bet.accepte:i as complete. :: :c.. '..,'..;:.......-.7,-i-C:.:::ely 3:::::::::•;•r.ili•>::-....Se:NicS ar.X.Z..1 ...., I1....--,,.!:::74,,..C.-.,?...N'',.•'../.:::•.:::.;:c4 .1:-...:., I 1 . . . . Mechanical Permit A lica ' '''' --17t- -'77 OFFICE USE ONLY EivED .:4,2... .-2:i,: .....„...,..p;,..A :._ --",.•'"-` ,4 City of Tigard Received ..-:, 4 4Z..-1's:•1' .- .,- : Blvd., ^- ')-• 71 Datesy, ( 30 /3 CZ4 i Permit No.: Nan Review " til..‘ S:v Hall...PA..,.igard,ok 972_5 Phone: 503.718.2439 Fax: 503.598.19601! 11 :- 0 ••") Date/By: Other Permit: A.A,e_ga Inspcztion Line: 503.639.4175 . TIGAR D Date Ready/By: Jr : 121 See Page 2 for :. .. .. Internet: www.tigard-or.gov Supplemental Information CITY OF TIGARD 1 NotifiediMett°4: ‘,.:c,'";-',..7't., : ,....-':.;:i,i.::':i':';,,iii,-‘-..,.".....,,,.:,.:";:',:sr.,l1.-:::::,,..,::"..t.yr':• .:::- ;11'...,CViit):Itillbidi At*Jkfttifili.E.:-"ritgeditEt:}PS-fi...::;:", '..'--'''' Mechanical permit fers*are based on the value of the work tag New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit. Value:$ iNJ4:lig44W4). ..-0AVM-0.19. 4;,=-:..,':%•i-;'-- -.";,-1•!.:!-::::--- --'..-- • i`,T- e...- ,51-D,RITTAT-,TQ.W11,1knMffEWIS,,.Ff..§.:n7...:1,::.-.e . CI 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist CI Multi-family 0 Master builder p Other: Description I Qty. I Ea. I Total ,-,--!...t..--i...:::,77r;:::,;,,:_:;i,•_:•;,......-, p4,,,-.• HeatinWcooling: Job site address: —7-79 0 sc,1/4) 44N s EN, ,,A.,,e (requires site plan showing placement) , 46.75 Furnace 100,000 BTU(ducts/vents) I 46.75 City/State/ZIP: •-rx,:c.,4(Li) I cht- Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: gi,LT1-r441 0,16,40(A.6 Heat pump (requires site olan showing placement) 61.06 Cross street/directions to job site: 7 90, Avg Duct work 23.32 Hydronic hot water system 1 23.32 Residential boiler(radiator or hydro:tie) I 23.32 1 Unit heaters fthel-zype,net elecuic). I 1 in-wall,in-due-.,suspended,etc. I 46.75 I Subdivision: 6 r i f-t-an rYIecidol,05 I Lot no.: a Flue/vent for any of above Other: • I I 23.32 I 23.32 Tax map/parcel no.: Other fuel appliances: ....1.--.•—.-!!,-----:::-.:,-.1„,...--•:;::::,!1‘q.::•?, Water heater .W4-51411rag.A.gRal**.rtitif.)M-..ifAX6i.tt=2:Et-IZ.fiWt*:i I-1::-s.'`:.i.,:...„ c 2332 Gas fireplace/insert 33.39 htt---t.. Alarile--- Flue vent for water heater or gas fireplace _ 23.32 Log lighter(gas) 23.32 1 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ••-,-!--.,---- ' •--- - . - ,,I.:.,:,..„--,:.:-..,-! liner/flue/vent !.,'-,:,-,•:;:i 14i.kei44i Chimney/ rthicItItit. :::::,1,i':;.0;',5:".1a;::-&.,:-,:.2i;?-:a AtSiAICII.i! -::,3."'•,::"2.•:4.1:,-.7. 23.32 I 23.32 Name: "Pcici4 6, eve,rolle-ecke) 14orne.s Environmental exhaust and ventilation: Address: 74 I 0 s(A) esorl Rci . Range hood/other kitchen e.quipment 1 33.39 City/State/ZIP: por+(And , OR q-1223 Clothes dryer exhaust 1 33.39 I Single-duct exhaust(bathrooms, Phone:(505)(z(oLi tog 2. Fax:(50b)2_0(3 -7 i 2 I 1 toiiet comcanments,utility rooms) 114—5 I 23.32 ... .....,1 7- e-:ri;fp-iii,■oleavi',,'Ir,..-,-1Z'OOIXII;AVI.:`Pbtf..stiN:"...;::::':-:::-.;- ■ A..tticlerawispace fans I 23.32 Otl.-.tr: 23.32 Business name: p aci f ( eVerCreell 4-10racS I Fuel Moinv- Contact name: Alan I 60erncoy_e_ i 514.15 for first four;$4.03 for each additional Address: 714 ID su) Dieson Rot. , - - 1 .. t urna,—., Gas hm ()limp City/State/ZIP: Port land /`'..R 61122g I Wall/suspended/unit heater , Phone:(503)(0(0.4 (0 q 2_3 Fax::5o2-os 1121 Water heater i Fireplace I , E-mail: at=spfcenoore,earilli I .Corn . ... Range I ,:r.l...,.::.1.,:-.-4,tit.-::::4•Fr;,=-..,e.-..,..---.1,-4-6,5,-.--mE.;65-4WEliiiif.-:AQM5,.as.f1= 1,M04::::..girn,:;:"?. Barbecue Clothes dryer(gas) Business name: Pyramid Heating&Cooling Address: 9409 NE Colfax St. Other. Portland,OR 97220 Subtotal City/State/ZIP: Minimum permit fee(S90.00) Phone:(50.1)1 sit, ci 522, 1 F.:(503)-7 gio 3L1 3'2- Plan review(25%of permit fee) CCB lic.: SCI 3 g 2.... State surcharge(12%of permit fee) 1 TOTAL PERMIT FEE JATA j. This permit application expires if a permit is not obtained within ISO Authorized signature: Cf../INAL.X-1 days after it bas been accepted as complete. Print name: A pvi 1 3-en3en i Date: 51 H /J inethadology set by Tri-County Building Industry Service Board U s 1 1:,Building•Pcnnit.:•NIEC:T=.2App.doc C5107/1 . . I. Electrical permit Ap jjcati �CEVED 1..:.„:�`;d =°Y .... a,. TCal:L :o .} . .. f t;r.;:.... . :Y.,','` _,,:; 769 /3 n Permt Nn.: idsa6i3-ce iii ^'" . 13125 SW Hall Blvd.,Tigard,012 972201, I'I:u,Review I �t�Q�o/ ?�_arl�Q tt 3 0 2013 I Other !! _ice Phone: 303.71 S 2439 1-ax: 503.598`. Date!Dv: ;e] { I ;MIS I ID See I'age 2 for 1II Inspection Line: 503.639.4175 I Date Ready/Dy: Internet: \v,v,v.ugard-or.gov CITY OFTIGARD No:ilicd''victloJ[ Supplemental Information TYPEIWILEDIG DIVISION I PLAN, REVIEW Please check all that apply(submit 2 sets or plans aditems checked beim,1: 1 21 New construction ❑Addition/alteration/replacement I ❑Service or feeder-100 amps or:more ❑Building over three stories. ❑ DemollilOrt ❑Other: I where the available tbuit current ❑Marinas and boatyards. I excttu'0.540 amps at!all volts or ❑Floating buildings.CATEGORY OF CONSTKUCIION less:o ground.of c\cceds 14.000 ❑C:onmtercial-use aenit:ohmal © I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building 1 i amps for all other installadn:is. buildings. ❑rice l`:IGII:. ❑Installation of 7i I:\�,\of '` ❑ Master builder Other: large:sc .i atcl_:derived; .ent I Multi-family I n_i:,,,.::...,,: •;::�,:,, . I JOB SITE INr,C)it'+•'i.hTIO\' A',,') LOC:1Tr_Oti — . .. :: . . _'. -•' site Fl I job 9 c0 sw )/ANA-€4) L- i':C.: Job °1 — ..S:a:.::!:o:e:'-:,:::c:::,...:m::.a ^ d'nr•i.e1•u'k;,a E. siippiy ruiia_e h,:Il:u:e I::::a Cily/Sta[c/ZIP:'i'ig:ud,OR.97221 I � ❑Ida%arutnIllucatians. 600 colt.+nominal. I ': ❑Service nr,'ceder O00 amps or:core. I• I, I Project name: Brittany Meadows I Suite/bldg./apt. no.: - 1 FEE SCHL•'DUI_E i - 1 Olv. I Pre. I 'roo:,I ,{yl AVE I I Dr.:re:Oen Cross s!rer./ciircc!ions to job site. 79 I New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.!I.or less I r I 16S.s t I 14 Subdivision: Brittany Meadows I Lot no.:/3 1 La. I I add'I 500 sq.It.or portion I 33.93 Tax map/parcel no.: Limited energy.residential 7s.00 '- (with above sq.ri.) DESCRIPTION OF_�VORI: Limited energy,multi-rant ly I 75.11[) ' residential(with above sq.It.) I I Services or feeders installation.alteration,and/or relocation 200 amps or less I I 100.70 12 I 133.56 2 TENANT 201 amps to 400 amps ! x❑ PROPERTY OWNER 2 I I UU � 401 amps to 600 amps ! 200.34 2 Name: Brittany Meadows LLC 5U!amps to 1,00(5 amps I 301.04 IT Over!.011U amps arvolts I 55226 I ' Address: 16615 Maple Circle I � Temporary services or feeders installation.alteration.and/ur City/State/ZIP: Lame Oswego.OR.97034 I I rchi... a { !=!o.. (503 Y781-1981 I a:: , -- _,: .,,,. -- --- :'_ .i, I '-,. _ .. -.'.Gii IS G2. I'.lia=l on tot that l:`.yli'....I_ f5:.... �_--. '.t 1n i0 .. --- 161.54 I 1 - I Owner lnstailati0i: This insta " 'iii n I ;i}i ,ti .,. I intended for sale,lease.rent,or exchange.according to ORS 447,4-9,670. 1 551 :::cn circmits-new,alteration,or eslenswn,per panel i Date: 1 ! ,.:'c:bra::eit ci:et:i:s with i ' I i Owner signature: -- -- I a":;•::sc:vii cr I _ i 7.42 I ' G APPLICANT I CON TA Cl PERSON c::c!1 blanch cir_,.Iit 1 1 .c AI 1 LICANT 1 l I B.Fee for branch circuits a ilhoul Business name: Pacifice Evergreen Homes service or feeder tee,titst 56.18 ? branch circuit I I I 13 Contact name: Alan GoffM1iuore Each add'1 branch circuit 7.42 Address:7410 SW Oleson Rd Ste 133 I I Miscellaneous(service or feeder not included) IEach manufactured or modular 67.84 I 2 City/State/ZIP: Portland,OR.97223 dwelling,service and%ur(ceder 11 Reconnect only 67.54 I 2 Phone:(503)664-6423 I Far: ( ) Pump or irrigation circle I 67.84 I 2 11 I 2 E-mail:alangoffmooreGgmail.com I Sign or outline fighting 67.84 I CONTRACTOR I I Signal circuit(s)or limited-energy I • I I panel.alteration,urextension. ! I rage 2 '- Business name:Garner Electrtic ! I Each additional inspection over allowable in any ol'the above i I I 66.25/hr 1 I Additional inspection(!hr min) Address: 2920 SE Brookwood Ave Ste A .. Gtr 25/hr I I Invest:gallon(i:.r min) I i City/State/ZIP: Hillsboro,OR 97123 iiid is::;...,ta..,.. 'mittJ I I 78.18111r I 1 67:2-7925- - M Phone:(503)6184552 -n `--•-1 _ . 9! Oi .r I .. _ i I. ie.: Lie-.:,,,2,4305:;? j!t r':. Lie : .i: ..,". - C.l_iJ LIB.. 1__Ji I :.,ice 1 _ 1 -- I Subtotal: I I 1 Supty. LICCII'IC:all Si Ali:a'.I:C,require;,:,:,,,./.. . I- - "'.r --- °,..::re- 12 ieo of permit iee). I I I I State surcirr_c(13`.56 u;'pernut roc): 1 I Print name: Chuck Garner I Date: ' • TOTAL PERMIT FEE: I I I Authorized signature: I rl,i.,I>e•r11tt ot'peratiou expires tea permit is not obtained niu,in ISO days after it Iles been accepted as complete. Print name: Date: I - Number of inspections allowed per permit. li-.nuilding\Pamiti.Gl.C-Yumil:\pp due O7r111110 a_I.ai,t_5ttI illlstc'oat.1'E'a 11114 0 ° Building Division Development Code Provision Review T I G A R J Residential Projects Building Permit No.: �.�I l 3 -0O 19/ Project/Subdivision Name: P1 i/a-t-1 V HS 4-00 5 , Lot #: Site Address: 7 7 90 4 to 14-61• s&13 L►J CWS Service Provider Letter: Required:Yes ❑ No f] Received:Yes ❑ No 1 Plans Routed: Original Plan Submittal Date: 7/ /'3 Routed B .1111 ' 1St Revision Submittal Date: S/4/ ? LYSite Plan Only Routed : 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: 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 alongty)left only if approved. Planning Review(contact es -Ora C 2. at(503) 718-2421 or S- @tigard- or.gov) Land Use Case No. SIa2OC6-ODD I 5 Zoning 4. Setbacks: I 1 1 I , ,Front Rear (5 Side S Street Side 15 Garage { aximum Building, Height: _ 3D Actual Building Height -1::: I CI � 0 Visual Clearance N /fr ■ 0 Easements I nsitive Lands Type: 259'Sb S) Ltd Street Trees J ❑ Protected Trees Q.1 / Notes: il Original Plan: Approved�� Not Approved ❑ Date: 31 3 Revision 1: Approved. Not Approved ❑ Datc: -7 I3 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 is\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 Engineering Review(contact Mike White at 503-718-2464 or MikeW @ tigard-or.gov) _Er-Actual Slope: Notes: I f 010 A-c-TV j_V �P�- jc-,s OF TDB.. L7( ti1 LA)41- ; ✓c C- Original Plan: Approved ❑ Not Approved 0 Date: 7( VI3 Revision 1: Approved Not Approved ❑ Date: 7 /13 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: Ye i1 No ! IS l 3 Date Routed to Building: I A. � 131 i • • Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 H s%'/5--ez)/g/ I ' TROXELffS HOME ti.,-LESIG - ' .5. ;IP 1778 S.W. 26TH CT. GRESbM 3 CR. 97030 '�I11j EIV D viiv All G 6 20 FL_V: Fv: CITY OFTIG 88.i 76.00' b.aa BUILDING DIVIS ON T LOT # I3 �. � ,— , ,i 7,629 SQ Ff '' - I .• i r 1 • i I I i I I — ' I I � I I r . li='\.1= 411 i I I .nI PROPOSED 16. of i jr 1 d RESIE1iCE ! I O. PLAN r 1 337 I ' O -I ! F.F.F.=IGLOO' � I i I I I I I — —— — - ---- 1 POR � I I G.F.E.=100.50' it ■ /I 1 1 O - 1 F I r I DRIVE 1 N I 'LEV: O .—._. I 66.IC' —.—.ye._•_. cLev: c //1 I-60.60, j SIDEWALK ;00.0a �— = gift�/1C� 0.TORM ( / °LA+ITER 6? = " oicipbz, 5VV !1ANSCN `ANC 1 LEGEND I/VGI 4/V m 3" SEWER ® I"WATER © GAS © POWER --- RAIN DRAIN NAME: SITE PLAN DATE: 6-3-13 SCALE: 1-=20.00' PLAN: PLAN#1337 DRAWN/ BY_ /DENNIS TROXEL ADDRESS:_L S37 /964.-) 779L SW 1i'�- i N C.4/ 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 7790 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-01-15 (null) MST2013-00181 PASS Cleanout for structure under garage 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 7790 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 2014-01-21 00:00:00 MST2013-00181 PASS - C of O 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 7790 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal 2014-01-15 (null) MST2013-00181 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 7790 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal 2014-01-17 00:00:00 MST2013-00181 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 7790 SW HANSEN LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 2014-01-17 00:00:00 MST2013-00181 FAIL 1. Complete hand rail at stairway 2. Provide expansion tank on water heater, pressure relief tube discharging water on garage ﬂoor. Pressure reducing device requires it. 608.3 NOTE all Documentation available, but not taken, will take when ﬁnal passes. Deck support completed. All else ok Violation Summary: Inspector Contractor CITY OF TIGARD BUILDING DIVISION PERMIT #: S2 /3 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 At.I .018 , Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 7710 1t/T AI S(:7� LOT#: CLASS OF OF WORK:RK: SUBDIVISION: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: • Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections/ omments/Instructions: • IId PASS ❑ "TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: II — J --)Phone #: (503) 718- ,