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Permit CITY OF TIGARD MASTER PERMIT � t 11 ;! COMMUNITY DEVELOPMENT �1 Permit#: MST2013-00160 TI GA.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013 Parcel: 2S110BC12000 Jurisdiction: TIGARD Site address: 14782 SW 122ND PL Subdivision: TROY PARK Lot: 6 Project: Troy Park, Lot 6 Project Description: New SF. 4/28/14: Reprinted to add A/C. 5/6/14: Reprinted to add backflow. 7/2/14, REPRINTED to correct parcel number from 2S110BC01201 to 2S110BC12000&to correct owner information. BUILDING f J Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1220 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1468 sf Garage: 389 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors Yes Total: 2688 sf Value: $305,866.32 Rear 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 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: 1 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Tema 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: 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+ampNolt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other N Other Description: Ecompaang: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2688 Owner: Contractor: TIMBERLAND HOMES INC TIMBERLAND HOMES INC Required Items and Reports(Conditions) 12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-620-8860 FAX: 503-598-9081 Total Fees: $17,287.23 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. 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 t AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. Permittee Signature: L LL1i C 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. CITY OF TIGARD PLUMBING PERMIT S COMMUNITY DEVELOPMENT ' • Permit#: MST2013-00160 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013 Parcel: 2S110BC01201 Jurisdiction: TIGARD Site address: 14782 SW 122ND PL Project: Troy Park,Lot 6 Subdivision: AMES ORCHARD Lot: 5 Project Description: New SF. 4/28/14:Reprinted permit to include A/C installation. Placement of the A/C unit must comply with manufacturer's clearance requirements.5/6/14:Reprinted permit to include backflow for irrigation. Contractor: TIMBERLAND HOMES INC Owner: PRESTIGE INVESTORS LLC 12670 SW 68TH AVE STE 300 12670 SW 68TH AVE#300 TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-620-8860 PHONE: FAX: 503-598-9081 FEES Quantity Description Date Amount 1 ea Building Permit-New 09/26/2013 $1,778.06 Specifics: Construction 1 Plan Review 09/26/2013 $751.34 Type of Use: SF 1 ea 12%State Surcharge- 09/26/2013 $213.37 Building Class of Work: NEW 0 Plan Review 09/26/2013 $404.40 Type of Const: VB 1 ea DC Provision Review,SF- 09/26/2013 $70.00 Occupancy Grp: R-3 Ping Stories: 2 1 ea DC Provision Review,SF- 09/26/2013 $10.00 LRP 12 ea Info Process/Archiving-Lg 09/26/2013 $24.00 $2.00(over 11x17) 69 ea Info Process/Archiving-Sm 09/26/2013 $34.50 $0.50(up to 11x17) 1 ea Metro Const.Excise Tax- 09/26/2013 $367.04 Residential Use 1 uts Water Quantity-Res 09/26/2013 $275.00 1 ea Erosion Control w/Permit-Eng 09/26/2013 $375.00 3077 sf Permit Fee-Elect(per 09/26/2013 $338.14 dwelling unit) Total $17,287.23 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 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. 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 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. Plumbing Permit Application Site Utilities ckc,v,\IED I (1l ()t I I l l I I (1\1 1 City of Tigard 1k Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97, i Q 6 20 Dean Review , :: �� a Phone:. 503.718.2439 Fax: 503.59.. t PRD ray: Other Permit No.: 1 I c,,�1;I Inspection Line: 503.639.4175 O�'\\C? ��\NVt pate Ready/By: luris 0 See Page 2 for Internet: www.tigard-or.gov G\'(� �w,G\N Notified/Method: ri , Sappkmeaal Information ®New construction ❑Demolition Forspedaf information use checklist Description 1 Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: . "s 4; New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF co , iii"*l SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercia i:i � SFR(2)bath 437.78 Accessory building .1. SFR(3)bath 500.32 ❑ ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 30*SITE INFORIRATION AND LOCATION Site utilities: Job site address: 14782 SW 122°d Place 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 ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Troy Park Lot 6 Manufactured home utilities 50.03 Cross street/directions to job site:SW Winterview Drive 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:Troy Park Lot no.:6 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DE5CRICfON OF WORK Backwater valve 12.51 Clothes washer 25.02 Single Family Residence Dishwasher 25.02 3 0,t 1JV 6,,,,i(1-10,,,) iirr tt S/(/Isi A 77---. Drinking fountain g o 25.02 I Ejectors/sump 25.02 0 paoiE 'y OWNKR I 0 TENANT Expansion tank 12.51 3 Name:Timberland Homes,Inc. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 "-ii Address: 12670 SW 68"Ave.,Suite 300 Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 c Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 12.51 rt 0 APPLICANT. ❑ (7pft cr PERSON Interceptor/grease trap 25.02 ■ Business name:Timberland Homes,INc. Medical gas(value:$ ) Page 2 Primer 12.51 M Contact name:Laura Blake l Roof drain(commercial) 12.51 /1� Address: 12670 SW 68""Ave.,Suite 300 /A Sink/basin/lavatory 25.02 City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54 ' Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 12.51 CT E-mail:laura @timberlandhomes.net Urinal 25.02 + Water closet 25.02 Water heater 37.52 Business name:Trademark Landscapes,Inc. Water piping/DWV 56.29 Address:PO Box 2410 Other: 25.02 City/State/ZIP:Oregon City,OR 97045-4545 Subtotal Phone:(503)631-3893 Fax:(503)631-4737 Minimum permit fee: 572.50 CCB Lic.: _ Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: I^1, • i TOTAL PERMIT FEE 'F3 s This permit application expires if•permit is not obtained wi , n 180 days Print name: �� , Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Buildin g\Permits\PLMU-PenndApp_dce 10/01/09 440-4616T(10/02/COM/WEB) (7 froth, II CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT E� Permit#: MST2013-00160 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013 Parcel: 2S110BC01201 Jurisdiction: TIGARD Site address: 14782 SW 122ND PL Subdivision: AMES ORCHARD Lot: 5 Project: Troy Park, Lot 6 Project Description: New SF. 4/28/14: Reprinted permit to include A/C installation. Placement of the A/C unit must comply with manufacturer's clearance requirements. BUILDING Floor Areas Required Setback% Required Stories: 2 Bedrooms: 4 First: 1220 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1468 sf Garage: 389 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2688 sf Value: $305,866.32 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Drains: 0 Tubs/Showers: 4 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 Drywell-Trench Drain: 0 Other Fixtures: 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: 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'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 2688 Owner: Contractor: PRESTIGE INVESTORS LLC TIMBERLAND HOMES INC Required Items and Reports(Conditions) 12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD.OR 97223 PHONE PHONE 503-620-8860 FAX: 503-598-9081 Total Fees: $17,252.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co• of • --or direct questions to OUNC by calling 503.232.1987%• 1.800.33, •. Issued By: _ �,r_si�� Permittee Signature: x/ Call t `�.41 • by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No. ° 13125 SW Hall Blvd.,Tigard,OR 97 0 ■" Review �� III - V ) • ti rC311 . Phone: 503.7182439 Fax: 5035 Date/By: Other Permit T I GARD Inspection Line: 503.639.4175 rt` Date Ready/By: Juris El See Page 2 for Internet www.tigard-or.gov ��n �' Notified/Method: Supplemental Information �j p, 4 TYPE OF WORE 0(*. /, COMMERCIAL FEE* SCHEDULE- USE CHECKLIST ®New construction ❑Addition/alteratio ee tttt Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: ` mechanical materials,equipment,labor,overhead,and profit. ' ill* Value:$ CATEGORY OF CONSTRUCTION ■ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercialfmdustrial 0 Ac.-�• i..;- ._ For special informmion use checklist. ❑Multi-family ❑Master builder Other: Description ' Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning f 46.75 'y'!:.75' Job site address:14782 SW 12rd Place Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 5491 Suite/bldg./apt.no.: Project name:Troy Park Lot 6 Heat pump 61 A6 Duct work 2332 Cross street/directions to job site:SW Winterview Drive Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 Subdivision:Troy Park Lot no.:6 Other: 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 DESCRIPTION OF WORK Gas fireplace/insert 3339 Flue vent for water hearer or gas Single Family Residence fireplace 2332 • ')add 645 (t) air C6rd 111�i.�Ntd. COI ri"" Wood/pellet d/pell t sto) 2332 JJ Wood/pellet stove 3339 Wood fireplace/insert 2332 Chimney/liner/flue/vent 2332 ® PROPERTY OWNER I ❑ TENANT Other: 2332 Environmental exhaust and ventilation: Name:Timberland Homes,Inc. Range hood/other kitchen equipment 3339 Address:12670 SW 68th Ave.,Suite 300 Clothes d exhaust 3339 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 2332 Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332 ® APPLICANT ❑ CONTACT PERSON Other: 2332 Business name:Timberland Homes,Inc. Ptre!piping: $14.15 for first four;$4.03 for each a_dditional Contact name:Laura Blake Furnace,etc. Address:12670 SW 68th Ave.,Suite 300 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water heater Phone:(503)620-8860 Fax::(503)598-9081 Fireplace Range E-mail:Laura@ timberlandhomes.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: MECHANICAL PERMIT FEES* Address:PO Box 433 Subtotal q c,. a> City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) I Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) (,;. CCB lie:178624 TOTAL PERMIT FEE t. ' This permit application expires if a permit is not obtained within 180 e 9 days after it has been accepted as complete. Authorized signature: �+�?� .�- = Fee methodology sit by Tri Coan Building Industry Service Board �s- �'_ r' — — BY Y tY 8 nY Print name: L�/� Gb` �L� ll// I Date_ il/,25//� 1 1:1Buil ding\PcnnirslMEC_PetmitApp_040113.doe 44d-46171(S dQ2/co Multi) a CITY OF TIGARD MASTER PERMIT I'1 ° COMMUNITY DEVELOPMENT Permit#: MST2013-00160 T I GAR L7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013 Parcel: 2S110BC01201 Jurisdiction: TIGARD Site address: 14782 SW 122ND PL Subdivision: AMES ORCHARD Lot: 5 Project: Troy Park, Lot 6 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1220 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1468 sf Garage: 389 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2688 sf Value: $305,866.32 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 4 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 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+ampNolt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: 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 2688 Owner: Contractor:— — — — PRESTIGE INVESTORS LLC TIMBERLAND HOMES INC Required Items and Reports(Conditions) 12670 SW 68TH AVE#300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-620-8860 FAX: 503-598-9081 Total Fees: $17,199.85 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. 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 OAR 952-001-0090. You m. •• - • - •• • -.•nrt-2•, . •ct questions to OUNC by calling 503.232.1987 or 1.800 2344. Issued By� –_ - - — Permittee Signature: Call 50 I,..:1t •y 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 th project. Approved plans are required on the Job site at the time of each inspection. i - , Building Permit Application Residential RECELIED l O R Or11( t: (ISE 0\L, City of Tigard Received ;� • 13125 SW Hall Blvd.,Tigard,OR 97223 N 26 2013 Date/By: Zto 3 tv v tent Ngy_5-7,20/g 0O/64 Plan Review Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: Other Permi ��3—Q(�j[�� TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: n /� Juri. ® See Page 2 for lntemet: www.tigard-or.gov Notified/Meth � `7�J �i � Supplemental Information BUILDING DIUI510P w L./hi 2l1- 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,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ rjI e ,jZ ❑Accessory building ❑Multi-family Number of bedrooms: it ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2— Job site address: 14782 SW 122°d Place New dwelling area: 2 Q'g square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 2$D1 square feet Suite/bldgJapt.no.: Project name:Troy Park Lot 6 Covered porch area i t 6 square feet 14 Cross street/directions to job site:SW Wioterview Drive Deck area: square feet Izza Other structure area:1`Z 7 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Troy Park Lot no.:6 Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Single Family Residence Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name:Timberland Homes,Inc. Type of construction: Address: 12670 SW 68th Ave.,Siote 300 Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)620-8860 Fax:(503)598-9081 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Timberland Homes,Inc. (Pteaserejerwjeesehedu/e) Structural plan review fee(or deposit): Contact name:Laura Blake -FLS plan review fee(if applicable): Address: 12670 SW 68th Ave.,Suite 300 Total fees due upon application: City/State/ZIP:Tigard,OR 97223 Phone:(503)620-8860 Fax::(503)598-9081 Amount received: E-mail:lau ra @ti mberlandhomes.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Timberland Homes,Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:12670 SW 68ih Ave.,Suite 300 Solar Installation Specialty Code checklist. City/State/ZIP:Tigard,OR 97223 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)620-8860 Fax:(503)598-9081 State surcharge(12%of permit fee): $21.60 CCB lic.: 141715 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. ` , l *Fee methodology set by Tri-County Building Industry Print name: Li l Gl fl Date: /a/2_Li 4 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l I/02/COM/WEB) Plumbing Permit Application RECEIVED Site Utilities JUN 2 6 201 FOR OFFICE USE ONLY 1,1 City of Tigard RecC1V0d N�/Lfsj�/3_.01:9/6,a Y 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD yew • is • Phone: 503.718.2439 Fax: 503598.1961111 DEG DIVISIO OthQ Permit No. T I G A FZ D Inspection Line: 503.639.4175 �J L Date Ready/By: Juris: 1 ®See Page 2 for Internet www.tigard-or.gov Notfi d/Method: _ Supplemental Information TYPE OF WORK 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(1)bath 312.70 ®1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath 50032 g ❑Multi-family Each additional bath/kitchen 2.502 ❑Master builder ❑Other. Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14782 SW 122nd Place 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:Troy Park Lot 6 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 SW Winterview Drive Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 1 Water service(no.linear ft.: ) Page 2 Subdivision:Troy Park I Lot no.: 6 Fixture or item Tax map/parcel no.: Backflow preventer I 31.27 3127 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Single Family Residence Dishwasher 25 D2 Drinking fountain 25 D2 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 1251 Name:Timberland Homes,Inc. Fixture/sewer cap 25.02 Address:12670 SW 68th Ave.,Suite 300 Floor drain/floor sink/hub 25 D2 Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 1251 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Timberland Homes,Inc. Medical gas (vim $ ) Page 2 Primer 1251 Contact name:Laura Blake Roof drain(commercial) 1251 Address:12670 SW 68th Ave.,Suite 300 Sink/basin/lavatory 25.02 City/State/Z P:Tigard,OR 97223 Solar units(potable water) 6254 Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 1251 E-mail:laura @timberlandhomesnet Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 3752 Business name:G&B Plumbing&Sons,Inc. Water piping/DWV 5629 Address:PO Box 92 Other: 25.02 City/State/Z P:St.Paul,OR 97137 Subtotal Phone:(971)563-3268 Fax:(503)633-8378 Minimum permit fee: $7250 Plan review (25%of permit fee) CCB Lic.:184372 Plumbing Lic.no.:PB634 State surcharge(12%of permit fee) Authorized signature: �C1kt _ TOTAL PERMIT FEE tillipt Print name: Ste,vi 4-0 w/e Date: This permit application expires u a permit is not obtained within 180 days ( after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t:\Building\Pemtia‘PLMU-PermitAppeoc IOAIA9 440.4616T(10A2/COM/WEB) , • Mechanical Permit Applicati 1 i FOR OFFICE USE ONLY � ECEVE), Received Ci of Ti and Permit No.: .�a 71 ° 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By_ �5Toti 3-00/6 2 O 13 Plan Review Phone: 503.7182439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 JUN 2 6 TIGARD Date Ready/By: runs: ®See Page 2 for Internet www.tigard-or.gov CITY OF TIGARD Notifted/Method: Supplemental Information TYPE OF waULDING DIVISION COMMERCIAL FEE' SCHEDULE— USE CHECKLIST , ®New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work ❑ eP performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. . Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES' ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. CI Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total • JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:14782 SW 122o l Place Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg/apt.no.: Project name:Troy Park Lot 6 Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:SW Winterview Drive Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 Subdivision:Troy Park Lot no.:6 Other. 2332 Other fuel appliances: Tax map/parcel no.: Water heater 2332 DESCRIPTION OF WORK Gas fireplace/insert 3339 Flue vent for water heater or gas Single Family Residence fireplace 2332 Log lighter(gas) 2332 Wood/pellet stove 3339 Wood fireplace/inseit 2332 Chimney/liner/Fue/vent 2332 ® PROPERTY OWNER ' ❑ TENANT Other. 2332 ' Environmental exhaust and ventilation: Name:Timberland Homes,Inc. Range hood/other kitchen Address:12670 SW 68th Ave.,Suite 300 equipment 3339 Clothes dryer exhaust 3339 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 2332 Phone:(503)620-8860 Fax:(503)598-9081 Attic/crawlspace fans 2332 ® APPLICANT 0'co NTACT PE RSON Other: 2332 Business name:Timberland Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Laura Blake Furnace,etc. Address:12670 SW 68th Ave.,Suite 300 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tigard,OR 97223 Water heater Phone:(503)620-8860 Fax::(503)598-9081 Fireplace Range E-mail:Laura @timberlandbomes.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other. MECI1ANICAL PERMIT FEES' Address:PO Boa 433 Subtotal City/State/ZIP:Clackamas,OR 97015 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)656-1908 Fax:(503)650-3898 State surcharge(12%of permit fee) CCB lic.:178624 TOTAL PERMIT FEE ✓ Q This permit application expires if a permit is not obtained within ISO i 0 days after it has been accepted as complete. Authorized signature: / �"- • Fee methodology set by Tri-County Building Industry Service Board Print name: y4iJ,)/ W Sdr lly1' Date: z[f//2 I:\BuildinePtrmits\MEC_PemmitApp_040113doc -4617r(I IA2JCOM/WFB) t 0 Electrical Permit App / FOR OFFICE USE ONLY City of Tigard 11nnll ��yy r Permit Nn.:eived ° 13125 SW Hall Blvd.,Tigard,OR IN 6 2 013 plan Review 401.52;4Di3'D/ : O Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: I'I G A K D Internet Inspection wwweagard or gov��JJITY OF TIGARD Date Notified/Method: '°"': up See for TYPE WRHDI\JISlO PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 101000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","I-2","l-3", Job no.:TP6 Job site address:14782 SW 122°d Place 100HPor more. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suitelbldglapt.no.: Project name:Troy Park Lot 6 ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site:SW Winterview Drive Deaeripdon I Qty. I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Troy Park Lot no.:6 1,000 sq.ft.or less 16854 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) _ Single Family Residence Limited (with abovesq.ft.) 75A0 2 Renewable Energy ❑.See Page 2 - Services or feeders installation,alteration,and/or relocation ' ® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 Name:Timberland Homes,Inc. 201 amps to 400 amps 13356 2 401 amps to 600 amps 200.34 2 Address:12670 SW 68th Ave.,Suite 300 601 amps to 1,000 amps 301.04 2 City/State/ZIP: Over 11000 amps or volts 552.26 2 ity/StatelZIP:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or Phone:(503)620-8860 Fax:(503)598-9081 relocation 200 amps or less 5936 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel " ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with ' above service or feeder fee, 7.42 2 Business name:Timberland Homes,Inc. each branch circuit B.Fee for branch circuits without Contact name:Laura Blake service or feeder fee,first 56.18 2 brand)circuit Address:12670 SW 68th Ave.,Suite 300 Each add'1 branch circuit 7.42 2 City/State/ZIP:Tigard,OR 97223 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)620-8860 Fax::(503)598-9081 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:laura @timberlandhomes.net Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:Ned Electric,Inc. Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:2931 Redfir Ct.NW Each additional inspection over allowable in any of the above City/State/71P:Salem,OR 97304 Additional inspection(1 hr min) 6625/hr Investigation(I hr min) 6625/hr Phone:(503)701-6257 Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.0/hr CCB Lic.: 194105 Electrical Lic.: C747 '1 Suprv.Lic.: specifically listed(Si hr min) Suprv.Electrician signature,required: / ELECTRICAL PERMIT FEES i_0_19_1 Subtotal: Print name: /97 I!LC Date: 4)72.////3 Plan review(25%of permit fee): • ` State surcharge(12%of permit fee): Authorized signature: y /\ �i,� TOTAL PERMIT FEE: Print name: ,/4/K G ` Date: G,/L(i//3 This permit application expires if a permit is not obtained within 180 /" t l j/ days after It has been accepted as complete. • Number of inspections allowed per permit. 11Bui dinePemuts\ELC_P App_EIREREdoe Rev 0521/2013 440-4615T(I IA5/COM/ EB 71 q Building Division Development Code Provision Review T I G A a D Residential Projects Building Permit No.: 11Sro20/3 - 00/4 0 Project/Subdivision Name: T20)/ P67214. Lot #: 67 Site Address: /G/7fa S , /oLZ /°L CWS Service Provider Letter:. Required:Yes ❑ No , Received:Yes ❑ No ❑ Plans Routed: Original Plan Submittal Date: 4/a I�//3 Routed By: 1" Revision Submittal Date: ❑ Site Plan Only Routed By: 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 (✓) 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. . F Planning Review(contact Anna Knwo(-?- at (503) 718-2)427 ora�iT�s @tigard- or.gov) V 1 Land Use Case No. (D 3?i1)C57-- CAD(I Zoning R—7 ❑ Setbacks: 1 Front 15 Rear 15 Side 5 Street Side 10 Garage 20' ❑ Maximum Building Height: 3S' Actual Building Height ❑ Visual Clearance ❑ Easements ❑ Sensitive Lands Type: NO NS ❑ Street Trees ❑ Protected Trees Vvi.ovil( Notes: Q N t11Va bk prtho+ of - m i oip,„, U Original Plan: Approved ❑ Not Approved)&(' Date: 7 I 113 Revision 1: Approved' Not Approved Date: al 3 13 Revision 2: Approved ❑ Not Approved ❑ Date: I (Review Continues on Page 2) Page 1 of 2 1:\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) j��/ • .r Actual Slope: 6 ty. 0.1 r /ire Notes: K cr e.w+1Si Ti(72-‘_ 31 3 S Original Plan: Approved ❑ Not Approved.El' Date: - -71 1 t° Revision 1: Approved Not A ' roved ❑ Date:, � PP I/ ,l, Revision 2: Approved ❑ Not Approved ❑ Date: • Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert @tigard-or.gov) • ❑ Conditions of Approval Prior to Issuance of Building Permit • Notes : • • • Original Plan: :.Date Sent to Applicant: • Revision 1: Date'Sent to Applicant • Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No a //i'/l3 Date Routed to Building:g .9/3 i3 • • Page 2 of 2 I:\CURPLN\Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 ■ M El REcEiliFt JUN 2 6 2013 sITE PLAN NOTES& GITY®F TIGER® I ALL OMNI~DSO PIAIN IAL TO TT■~OR=TO AN AINWILMID DIGPOVAL i91�®�!G DWISIO LOCATION. 1 ALL PILL MEAN r UCOt OANANI FLOM INC®ALIm.OPIPANI 'O ITC TO m =PAC=ONNGLM PLL &flONI ILL ON A OLNM O. mC.AVATON TO PROVOS CON ANTI PORNO ALL /"-• MONO 1®OTRIONe. 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N8GD3a'31'E BJJa'1' I ELEv.50000'„ M MI PLAN No 3082 Na �co1E AL PERMANENT AREAS LANDSCAPE DRAU.N: TF. 18 IN PLACE DATE:05-I1-2013 0 CATCH DAMN PROTECTION SCALE: 1'220'-0' worrierPECLOO D L El El WOODEN CURB RAFIP -MA E REAR PLOT MRA/AIIM MOM)AI•MY m.I,obMlo.A• PLAN %MIoOmIIAM11QDO WO YI WWI MI IIAI-III 1111111911111•7!DO OM M /V� ��/��/�� IIE MO MO= M /10 IAA WI NrVIM w11Y1V IIMI K0711It101O AMODl AD1 (MINK�IMSIMI 70A�O1M1 RAIL LAT010IIbOI W LRONVMN /AT 16001 O I Ca7M1IIMOC RUM LOT AMA 001/a/L fula WOUQ no IImUl1i 01il'omMwl �^ MALMO AMA LIM ea PT. w10IMMMI 00IMMO=JMA•M NO wr1y mIMOMAAINF AMICR RIa1MIIIa YAMS N/If POI =NOWT!AIWA- YO ea PT. �If11111� oMIM1D Alf OMB aAMI 7 �� O • 2_ I ,i e,,d 5-vn.S.a-/ Z"Wc ,,c r 414 r n 6 nrn in/ TM s' ® 3z �vo Ai. 5 ! 6 / 4, i ``FM -c II 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 • COMMUNITY DEVELOPMENT DEPARTMENT lit a Transmittal Letter T i c A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Vd,I/1 fi DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED SEP b 2013 FROM: G lC U /4R-e— CITY OF TIGARD . COMPANY: •17/k11A;44/y/i1 BUILDING DIVISIO N PHONE: RD3 / 62-0 -SUP 0 By: I // RE: �s� /� £ (S res ,M6 I O i 3 -ao / 7 o (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: I Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. c2ts Engineer's calculations. Other(explain): e ,i"._ ' REMARKS: r(/ 44(r.a., 4/24d 51 2,P G Q. ! -i- FOR OF IC USE ONLY U Routed to Permit Technici Date: ((1 ( 3 Initials: Fees Due: ❑ Yes I 1c o Fee Description: Amount ue: $ . $ • $ Special Instructions: Reprint Permit(per PE): ❑ Yes I ❑No ❑ Done Applicant Notified: Date: , Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 • 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 14782 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal 2014-04-22 (null) MST2013-00160 PASS NOTE provide approved sealant on storm and sanitary sewer cleanouts. All else ok. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14782 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2013-00160 George Heimos Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14782 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - C of O MST2013-00160 George Heimos *Erosion Control (CWS) approval. Received *Street Tree Certiﬁcation, checked for trees. Received. signed/dated *High-Efﬁciency Interior Lighting Systems Doc Received *Moisture Content Acknowledgement received *Garage Vehicle Barrier Installed. Yes *Lawn Irrigation ﬁnal with Backﬂow test results. received *Duct pressure test document (100cfm@50pa pascals pa.), received *All other ﬁnals previously passed, as noted on 4/30/14 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14782 SW 122ND PL, TIGARD, OR, 97224 Residential - Master Permit 399 Plumbing ﬁnal PASS MST2013-00160 George Heimos 3/4" febco model 850, serial no. HC37206 ok as per correction Violation Summary: Inspector Contractor