Permit CITY OF TIGARD
BUILDING DIVISION PERMIT.#: MST- OI3-CO/9 l
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 bags'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: Nis--113 TIME: PAGE:
SITE ADDRESS: 15$ / CLASS OF WORK:
SUBDIVISION: LOT #: 11 TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: ////5.43 Pour Time:
Code # Inspection Description Confirm # Contact # Message
-ids- (%it,
�d A.v.ve `o elof-r
Corrections/Comments/Instructions: !�
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•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
is *
Inspector: / ` �1� Date: ll1 �� Phone #: (503) 718-
------
CITY OF TIGARD MASTER PERMIT
a. COMMUNITY DEVELOPMENT Permit#: MST2013-00187
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2013
Parcel: 2S108AB04900
Jurisdiction: Tigard
Site address: 14005 SW 155TH TER
Subdivision: BRENTWOOD ESTATES Lot: 12
Project: Brentwood Estates, Lot 11
Project Description: New SF.
BUILDING
Floor Areas Required SetbacksRequired
Stories: 2 Bedrooms: 4 First: 2916 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 30 Bathrooms: 5 Second: 2966 sf Garage: 1290 sf Front: 15 Smoke
Dwelling Units: 2 Third: 0 sf Right: 5
Detectors: Yes
Total: 5882 sf Value: $699,223.52 Rear: 15
PLUMBING
Sinks: 3 Water Closets: 5 Washing Mach: 2 Laundry Trays: 2 Rain Drain: 1 Urinals: 0
Lavatories: 6 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 5 Garbage Disp: 2 Water Heaters: 1 Water Lines: 100 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 • Ice Maker: 2 Hose Bib: 2 Backwater Value: 1
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: Y Vent Fans: 8 Clothes Dryers: 2
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 10
Furn>=100K: 2
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: 13 201-400 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 5882
Owner: Contractor:
BRENTWOOD HOMES BRENTWOOD HOMES Required Items and Reports(Conditions)
17500 SW CAESAR TERRACE 15170 SW FINIS LN 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97224 TIGARD,OR 97224 2 geo tech report required prior
to footing inspection
PHONE: 503-407-1101 PHONE: 503-407-1101
FAX:
Total Fees: $29,370.86
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. AU • • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0e -'010 through• - 952-101-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 987 or 1.800.332.2344.
Iss •d By: 01/ �� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspe n date.
This permit card shall be kept in a conspicuous place on the job sit til completion of the project
Approved plans are required on the job site at the time of each inspection.
r, .11111‘
FBriihling Permit Application y _o
Residential FoR oFFacl: USE ONLY
City of Tigard OCI;# Received permit No.:
114
• 13125 SW Hall Blvd.,Tigard,0 Plan Revie '
0 �' V\ b Other Permit:
Phone: 503.718.2439 Fax: 503.598.196AA Date/B : �iljw,
I.I�, Inspection Line: 503.639.4175 ��\? ®� Date Ready/:y: ® See Page 2 for
Internet: www.tigard-or.gov D���j Slp� Notified/Method: ,i , i - al) NW Supplemental Information
CA'— CID tie°i(t- - ,ta. ✓/AN .w/kegs. ,/
TYPE OF tVtV.; 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.
Valuation: $ 2 ^�
❑ 1-and 2-family dwelling ❑Commercial industrial ,22 ✓> `5�- (3
❑Accessory building ❑Multi-family Number of bedrooms: ('j
12 Master builder ❑Other: Number of bathrooms: j
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14005 SW 155th Terrace New dwelling area: /7 eerZ,square feet
City/State/ZIP:Tigard Or 97224 Garage/carport area: 12 O square feet
Suite/bldg./apt.no.: Project name:Job 478 Covered porch area: 06L square feet 2Qir,g
Cross street/directions to job site:Bull Mountain and 155th Deck area: square fe .2.c?i 1,
Other structure area: -7( 7 2._ square feet `� ,
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Brentwood Estates Lot no.: 11 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New construction Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Brentwood Homes Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Brentwood Homes
Structural plan review fee(or deposit):
Contact name:John Noffz
FLS plan review fee(if applicable):
Address: 17500 SW Caesar Terrace
City/State/ZIP:Tigard Or 97224 Total fees due upon application:
Amount received:
Phone:(503)4071101 Fax::( ) .— .
E
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:john @brentwoodhomesoregon.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)4071101 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 18115
Total fee due upon application: $201.60
-
Authorized signature: 0...e.,...,,,, �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:John Noffz Jr Date:8-07-13 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
t Ow .
' Pluat bing Permit Application I4D
Building Fixtures 9 ,3 FOR 0111( 1 f'Sl ONLY
4 t Received
City of Tigard PUG 7-Z13
Received Permit No.: /h57�]1-�/g 7
III • 13125 SW Hall Blvd.,Tigard,OR 97223 r� PAW AWL,
J
C Review
Phone: 503.718.2439 Fax: 503.598.1960 .+�( �A' ch i gy Other Permit No.:•
Inspection Line: 503.639.4175 �,�1 p 01s�I��1 Date Read B iu�s: ® See Page 2 for
T I G A R D Internet: www.ti ard-or. ov �(�`° Ready/By: g
g g � Notified/Method: 00J001 Dental Information
TYPE OF WORK FEE* SCHEDULE
®New construction ❑ Demolition For special information use check list
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
SFR(3)bath ( 500.32
❑Accessory building ❑Multi-family rte-
- Each additional bath/kitchen - 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:14005'SW 155th Terrace Catch basin or area drain 1 8.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard Oregon,97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:Job#478 Manufactured home utilities 50.03
Cross street/directions to job site: 155th and Bull Mountain Rd. 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:Brentwood Estates I Lot no.: 11 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve I 12.51
Clothes washer Z. 25.02
New construction
-
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Brentwood Homes
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 2 25.02
City/State/ZIP: Hose bib "Zi 25.02
Phone:( ) Fax:( ) Ice maker ?i 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Brentwood Homes Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:John Noffz
Roof drain(commercial) 12.51
Address: 17500 SW Caesar Terrace Sink/basin/lavatory rZ/40 25.02
City/State/ZIP:Tigard Oregon,97224 Solar units(potable water) 62.54
Phonc:(503)4071101 Fax::( ) Tub/shower/shower pan 12.51
E-mail:John @brentwoodhomesoregon.com Urinal 25.02
Water closet 5 25.02
CONTRACTOR
Water heater 1 37.52
Business name:Craftwork Plumbing Water piping/DW V 56.29
Address:7733 SW Cirrus Dr Other: 25.02
City/State/ZIP:Beaverton Oregon 97007 Subtotal
Phone:(503)6448698 Fax:(503)6445989 Minimum permit fee: $72.50
CCB Lic.:79666 umbing Lic.no.:20-148PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signat ��/.- _
�/ TOTAL PERMIT FEE
Print name: Pete pol ard Date:8-7-13 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitAppdoc 10/01/09 440.4616T(10/02/COM/WEB)
' Mecnical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Date/By: Permit No.:
° 13125 SW Hall Blvd.,Tigard, •4=;42 rs Plan Review
' 11: Phone: 503.718.2439 Fax: ;1\;.`Gf': •60 1 r.Q� Date/By: Other Permit:
Y
T I G A R D Inspection Line: 503.639.417 �� Date Ready/By: Juris: RI See Page 2 for
Internet: www.tigard-or.gov \\.�
, O Notified/Method: Supplemental Information
TYPE OF �(�l1 • .COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
�vv�� Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alin/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
. Value:$
. 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. Total
•
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning ( 46.75
Job site address:14005 SW 155th Terrace Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Furnace 100,000+BTU(ducts/vents) 2— 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Brentwood Jonb#478
_ Duct work __ 23.32
Cross street/directions to job site:Bull Mountain Rd and 155th 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
Flue/vent for any of above 23.32
•
Subdivision:Brentwood Estates Lot no.: 11 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
' .DESCRIPTION OF WORK Gas fireplace/insert 5 _ 33.39 _
Flue vent for water heater or gas
New construction fireplace 23.32 _
Log lighter(gas) _ 23.32
Wood/pellet stove 33.39 __
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 _
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Brentwood Homes Range hood/other kitchen
equipment ( 33.39
Address: Clothes dryer exhaust Zi 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) g 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑,APPLICANT ' . ❑ CONTACT PERSON. Other: 23.32
Fuel piping:
Business name:Brentwood Homes
$14.15 for first four;$4.03 for each additional
Contact name:Brentwood Homes Furnace,etc. 2/ _
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(503)4071101 Fax::( ) Fireplace
Range
• E-mail:
Barbecue
• CONTRACTOR Clothes dryer(gas)
Business name:Rumbolt heating Other:
MECHANICAL PERMIT FEES* •
Address:Po Box 397 Subtotal
City/State/ZIP:Beaver Creek 97004 Minimum permit fee($90.00)
Phone:(503)4071101 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:172 7` 6 I All • TOTAL PERMIT FEE
IMIIII - This permit application expires if a permit is not obtained within 180
�/ ,,.•11111! days after it has been accepted as complete.—
A . r rized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:John Kloer Date:8-7-13
I:\Building\Permits\MEC_PermitApp_0401 13.doc 440-4617T(I 1/02JCOM/WEB)
i *
' ;.Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard �0�'S
Date/13 : Permit No.: v �i1 - a0t
UPI
• I3125 SW Hall Blvd.,Tigard,OR 97 VII 0 0 Other Permit
Phone: 503.718.2439 Fax: 503.598.1960 P`(� CCC����'"' ,�a
T I G A R D Inspection Line: 503.639.4175 '����`ls1' Date Ready/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov �`�1 Notified/Method: Supplemental Information
TYPE OF WORK . 9 PLAN REVIEW
®New construction Please check all that apply(submit 2 sets of plans w/items checked below):
❑Addition/alteration/t�}acement
❑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 10,000 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","1-3",
Job no.: Job site address: 14005 SW 155th Terrace IOOHP or 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.
Suite/bldg./apt.no.: Project name:Job#478 ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:Bull Mountain rd and 155th Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Brentwood Estates Lot no.: 11 1,000 sq.ft.or less r 168.54 4
Ea.add'I 500 sq.ft.or portion ('3 33.92 1
Tax map/parcel no.:
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family
75.00 2
New Construction residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Brentwood Homes 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( )
relocation
200 amps or less 59.36 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: Brentwood Homes each branch circuit
B.Fee for branch circuits without
Contact name:John Noffz service or feeder fee,first 56.18 2
branch circuit
Address: 17500 SW Caesar Terrace Each add'l branch circuit 7.42 , 2
City/State/ZIP:Tigard,97224 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(503)4071101 Fax: :( ) Reconnect only 67.84 2
E-mail:John @brentwoodhomesoregon.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
'
Business name: Kodiak Electric Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: ezi 456 �,y "_Skdz R.� Each additional inspection over allowable in any of the above
City/State/ZIP: S‘,..,,,,,,e—...-‘...— r/'J ?!n Inve t
Additional inspection )hr min) 66.25/hr
/ ( Investigation(1 hr min 66.25/hr
Phone:(503)8811259 Fax:( ) Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:/6/7S Electrical Lic.:Z' S 2 RC--Suprv.Lie.:, 7/3.,S specifically listed(%z hr min)
l ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal:
Subtotal:
Print name: Randy Seiber Date: 8-7-13 Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: �� TOTAL PERMIT FEE:
Print name: Randy Seiber Date: 8-7-13 This permit application expires if a permit is not obtained within 180
y days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE doe Rev 05/21/2013 440-46t5T(11/05/COM/WEB
Building Division
Development,Code Provision Review : . ,
TI_GARL Residential Projects
Building Permit No.: 157o76/3--oci 1 >7
Project/Subdivision Name: /r,,„Ii aAV es-ix-it-5 , Lot #: 1/
Site Address: Mobs— jc..► /c-s---V' Th-r-evc._
CWS Service Provider Letter:
Required:Yes ❑ No
Received:Yes ❑ No ❑
Plans Routed:
Original Plan Submittal Date: 317/r Routed By:
1St Revision Submittal Date: al///3(34 ❑ Site Plan Only Routed By: (j 7___
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 along left only I approved.
Planning Review(contact at(503) 7182-G or @tigard-
or.gov)
Land Use Cas o. 5'i -2,D ^,O,O,„,-,
Zoning
El Setbacks: , v
Front /`3 Rear / 5 Side Street Side Garage
aximum Building Height: 3S--' Actual Building Height _job�
0--Visual Clearance
Er Easements /�
�❑ nsitive Lands Type: SPP '5U/�
I Street Trees
❑ Protected Trees
Notes: l�l/v/ G
Original Plan: Approved -/ Not Approved ❑ Date: I -1 3
Revision 1: Approved E Not Approved ❑ Date: °El 3
Revision 2: Approved ❑ Not Approved ❑ Date:
(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)
, Actual Slope: / 8
Notes: N 62,? 1 a 61 S c u S 5 LtJ��- -ELU`�/�T .... 1)CPT kJ KL//-
I.4)R-7 SE424./IC.E. /Al 1.1.4, $1_
Original Plan: Approved ❑ Not Approved Date: g l3
Revision 1: Approved Not Approved ❑ Date: 10 a 13
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albeit @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 l��
Okay to Issue Permit: Yes1( No �1/11 /3
g
Date Routed to Building:
VVV___
o//6
Page 2 of 2
I:\CURPLN\Masters\Development Code Provision Review\DCPR_RPS.doc Rev.01/16/13
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
Transmittal Letter
T I a n R n -1-25 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECE
DEPT: BUILDING DIVISION RECa ' —D
FROM: CITY OFTIGARD
. E t • BUILDINGDNISION
COMPANY: � w �
PHONE: 5U ` `ta ( 1 O I (By:
RE: 1 e(d05' ,(-o (55" r3Troqol j —0 /F.7
(Site Address) (Permit Number)
r
(Project name or subdivision name an lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other explain): ll ��
REMARKS: . a,.� �1
•
e„r
• FOR OFFICE USE ONLY
Routed to Permit Technicia• Date: (Oil bl 1" Initials': D
Fees Due: ❑ Yes Fee Description: Amount ue:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes I ❑No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
/4 / / •/ •CONTRACTOR IS TO N!Rm ALL FIELD CONDITIONS
OR PROPOSED NOME F NOR to CONBTRICrIW ANO
RECE !■ / BEGINNNG ANY WORK
V �� PROVDE MLEi PRDTECTICN AT THE FIRST •CONTRACTOR ID r0 vESTA ALL NG F STORM AND
DORNSTEAM CATCH BASIN INSTALLED PER
DETAIL RNON UIOVQ!CATCNBABM M9EFR5 SANITARY INVERT ELEVATION SNES FOR PROPER
ONLY•NO BIOBAG9 IN THE STREET) DRAINAGE PRIOR i0 EOTepLIPU:NG FINAL BUILDING
ELEVATION AND BEGNNMG EXCAVATION
^0 .
CONTRACTCR IS TO TIERIFT LOCATION.0 EX lA ALL
OCT I L NDE GROU D UTILITIES PRIOR'O EXCAVATION
•CONTRACTOR 15 TO VERIFY THE LOCATION OF ALL
PROPER,LINES AND BUIONG SETBACKS 10 VER:Fr
rentwooa' s;tat , ?W & :` TRACT 'A' THAT T2.,MOUSE ALL T THE
PROM CURRENT
MOUSE AT
STANDARDS
1 n nL, I Y •ALL&TE GRADE INDORTIATIoN was BEEN pROVIDED DT
HE
T LDER FOR USE IN PREPARATION THESE PLANS
R S
ALL FINAL SITE GRADE CONDITIONS AND SLOPE IS TO BE
vERFIm Br THE[WILDER PRIOR TO EXCAVATION TO
ADJUST AS NECE00ART TO MEET ALL PROPER DRAINAGE
/ OF SURFACE WATER AS WELL AS HEIGHT RESTRICTIONS 0,
TDE CITY O TIGARD,OREGON
ELEV. E-V /
EGO �II55'-N.=:D 490'E. �.-'°m
r.-. • R ■ ■ • .1 e: = n - ____■ •',•A _ . ` TYPICAL PROPERTY LINE
PROVIDE 6•ABS BroRn BRAIN LINE 1• Z I l \ _ ���it\.0007...... 1.1. ....._ i— ...- :.= -ilI41-• 41%*\ /----FROM THE PERIMETER FOOTNG DRAM Y J"/}I k LOWER SLAB/� ,• y 1
TO7JE EAR STORM NLET PER I II. .— ELEV X099.00 I 'P`...•
; 1 t ,..i C M:N 97 ANDARDS AND RED Q , �3 014 LOW
17 I
W qq��//_ AFB __ _
ID! IRFil
PROVIDE a.ABB SANITARr SELLER I I '—I w�' I FF+ON YARD — — — U I•b N / _f�-r
LINE SLOPED TO THE EXISTING EAR W >— /"— -C 1> I I II 1
SANITARY BEU.ER LINE M TuE REAR O r— 1 II }t
SANIT RY E MN cope 111 p AI—RNR1■ LL W / / 1 ■IS
-gi • av\� �.= / / O�j • `I `FIR)
B.•0.SDE �I
9 1 —
' PROVIDE BEET TEES AT IuE LL
I —— FRONT O PROPERTY R STALLED
_RI■I / / / 1 PER CITY MIN OibIDARD6 AND RED
__�■ 1 ` E XTENDED b'MAX.HEIGHT GRADE
IQ 1 / / I i/�J BOLDER WALL EXTEND:N,FROM
0 0 1 I I— //KKnp�� / ` I �1 —2 TIE BIDE CF.015E AS WO1N
■ \ , P /F // / / i.......:, y PROVDE a•MN 3500 PS1 EXPOSED
AGG.CONCRETE ENTRY DRIVEWAY
°SWALE FM'S.ED WFFACE GRADE AT TIE r H / 1 OVER••MIN 3R.NOUS COMPACTED
BIDE O HOUSE 70 CONTROL AND DIRECT < / / / I I GRANULAR FILL ELOPED TO DRAM
SURFACE DRANAGE AUer FRO,DR N015E \ /F // / I ��
TOWARD N.STREET EDGE
AS SHOWN 10 OPEN YARD AREA COF _
ALL TRAPPED&RSA.WATER e0 / I P'EXISTING CURB LRE
NECESSARY r0 CONTROL STORM EvFWt9 / / / / / / / TYPICAL PROPERTY LINE
.0 CONDITIONS IN ORDER TO vER, ///«<
MEETING MN CITY STANDARDS AND EC. ` —— / � 1 �1 �:
FOR FINISHED GRADE •RI L��
– _ — , _— — • - is. wt:4 / // •
81.1 '- .89D 35'5 I I I \A,'_ / "b
\ Tee YN Ta -'' /
-ELEV.
9E50' TA l' r4'
TYPICAL PROPERTY LINE �a''N'..;,= / 1
AL PROPOSED BU',LDNG PERIMETER ��
EXTENDED BOLDER WALL FOR GRADE N.89Dit�5�4'W. 4_ . 4
Y COVER ALL EXPOSED BOILS WITH TILL Ab 6NOUN \*), /
3'O TIER A PRO Cu:P6.STRAW,GRAVEL TYPICAL MN BUILDING PROPERTY SETBACK LME5 T� Tlps ^/ ••••\
/'� ( 1 O
�MTAN 3 APPROVED COVERT WET AL- DRGND D. STANDA AS PNOW PER �' `L51;57 \ 1
DEFTU}uROGHq.T WET CITT PLdNNTY•9TANpA®S , /
DEANER BE NoN FFONDE Fla•COFFER WATERLINE NS-ALLED PROVDE INLET PROTECTION AT THE FIST
}a'M K BELOW FINISHED GRADE FROM THE / 5' i r\ I DOUNSTEAM CATCH BASSI INSTALLED PER
NO STOCKPILES AE TO BE LOCATED IN EXISTING WATER METER PER COW,MM i .,, , 0 \ `AN DETAIL lNON-LLWEN CATCHBABN INSERTS
TUE 5DE YARD SETBAOG AREAS STANDARDS ADD ECNEEMENTB \\ ONLY-NO BGBAGP IN THE STREET,
rf BRENTWOOD ESTATES li ACCES APRON TOOTTHEEEEXISTNG CURB I�TALL FILTER FABRC eEDmEN}FENCNG
AROUND THE SITE AS SHOW TO CONTROL a �/' -%LLOE �� STEER PER Cr,STAIDdRDB AND
f RFACE ERD&ON PER DETAIL 1�`I� q 1 1 ` LOT I � i AGG CONCRET TE—_— — •I/1�9'/ I JIII- I2001$C,1tJA�FEET / `" F{ R aF�OGGNCwcNeie ENTRY o IR i-EXPOSED
OVER e'ryN 3C ry)N1B CRiPdciED
�, GRANULAR FILL SLOPED TO DRAM
TOWARD TNE STREET ECrGE
`\—�r��—/fff G
SCALE: IF = 20'-0" 9'.'CONTINUOuSS SOEAIALK PER
`II
CITY STANDARDS WITH PLANTRG
APRON
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14005 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS - No C of O
July 22, 2014 at 12:38:53 PM
MST2013-00187
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14005 SW 155TH TER, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2013-00187
Jeff Grove
Violation Summary:
Inspector Contractor