Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014-00002
1 Date Issued: 02/20/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 •
Parcel: 2S110BC11500
Jurisdiction: TIGARD
Site address: 12315 SW WINTERVIEW DR
Project: Troy Park, Lot 1 Subdivision: TROY PARK Lot: 1
Project Description: New SF.5/6/14:Reprinted permit to include backflow for irrigation.
Contractor: TIMBERLAND HOMES INC Owner: TIMBERLAND HOMES, INC.
12670 SW 68TH AVE STE 300 12670 SW 68TH AVE SUITE 300
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
FEES
Quantity Description Date Amount
1 ea Building Permit-New 02/20/2014 $1,786.90
Specifics: Construction
1 Plan Review 02/20/2014 $751.34
Type of Use: SF 1 ea 12%State Surcharge- 02/20/2014 $214.43
Building
Class of Work: NEW 0 Plan Review 02/20/2014 $410.15
Type of Const: VB 1 ea DC Provision Review,SF- 02/20/2014 $70.00
Occupancy Grp: R-2 Ping
Stories: 2 1 ea DC Provision Review,SF- 02/20/2014 $10.00
LRP
14 ea Info Process/Archiving-Lg 02/20/2014 $28.00
$2.00(over 11x17)
47 ea Info Process/Archiving-Sm 02/20/2014 $23.50
$0.50(up to 11x17)
1 ea Metro Const.Excise Tax- 02/20/2014 $368.42
Residential Use
1 ea Tig-Tual School CET- 02/20/2014 $3,000.48
Residential
1 ea Park-SDC-SF Detached, 02/20/2014 $5,996.87
Duplex
Total $21,370.30
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:
�
CCC
i
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 �1
Site Utilities RECEIVE toll ()I 11( 1 1 •I (OsI 1
City f Tigard V Received
ty 2014 D : s>Ii Permit No.: v ,.0 1
III • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 6 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By:
I I 1, 1 is I) heir B See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR ed/Method:
. _ Supplemental Information
TYPE OF WORK "'n rr'f1•: C FEE* SCIUMILE
®New construction ❑Demolition For special information use checklist
Description 1 Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: i New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION 11 I (R SFR(1)bath 312.70
® m
1-and 2-family dwelling ❑Comercial/ind al 4 SFR(2)bath 437.78 -
building SFR(3)bath 500.32
❑Accesso ry g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE IN)IIORIM1ATlOri-AND LOCATION Site utilities:
Job site address:12315 SW Winterview Drive 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 1 Manufactured home utilities 50.03
Cross street/directions to job site: 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 I Lot no.: 1 Fixture or item: _
Tax map/parcel no.: Backflow preventer I 31.27 31.27
DESCTtIP 1 ION OF WORK Backwater valve 12.51
Clothes washer 25.02
Single Family Residence f / Dishwasher 25.02
�4a4,Kly ih 1 ClC{fG / 40 ThVtVIr ..5 e//i Drinking fountain [ J 25.02
J r Ejectors/sump 25.02
fa PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Timberland Homes,Inc. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:12670 SW 68th Ave.,Suite 300 Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 12.51
0 APpuCANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Timberland Homes,INc. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Laura Blake
Roof drain(commercial) 12.51
Address:12670 SW 68th Ave.,Suite 300 Sink/basin/lavatory 25.02
City/State/Z1P:Tigard,OR 97223 Solar units(potable water) 62.54
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 12.51
E-mail:laura @timberlandhomes.net Urinal 25.02
Water closet 25.02
CONTRACTOR
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 3)i j.)
Phone:(503)631-3893 Fax:(503)631-4737 Minimum permit fee: $72-50
Plan review (25%of permit fee)
CCB Lic.: (p i 9 Plumbing Lic.no.: State surcharge(12%of permit fee) " - -
Authorized signature: TOTAL PERMIT FEE S Ce
Print name: j- it{ 2 S.e, Date: 5/ // / This permit application expires if a permit is not obtained wit a lir days
after it has been accepted as complete.
*Fee methodology set by Tn-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-46i6T(10/02ICOM/WEB)
q CITY OF TIGARD MASTER PERMIT
illIl a COMMUNITY DEVELOPMENT Permit#: MST2014-00002
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014
Parcel: 2S110BC11500
Jurisdiction: TIGARD
Site address: 12315 SW WINTERVIEW DR
Subdivision: TROY PARK Lot: 1
Project: Troy Park, Lot 1
Project Description: New SF.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 2 Bedrooms: 3 First: 1168 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 24.5 Bathrooms: 3 Second: 1464 sf Garage: 516 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 2632 sf Value: $307,018.96 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Drains: 0
Tubs/Showers: 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
Drywall-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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'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-2 2632
Owner: Contractor:
TIMBERLAND HOMES,INC. TIMBERLAND HOMES INC Required Items and Reports(Conditions)
12670 SW 68TH AVE SUITE 300 12670 SW 68TH AVE STE 300 1 Ersn Cntrl 503-639-4175
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
Total Fees: $21,335.28
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci•ty C••es and all o er appli ble law. All work will
be done in - = Ice with approved plans. This permit will expire if work is not started within 180 days .f issu, ce if wor is sus.-nded for more the 180
days. • ENTION: • =gon law requires you to follow the rules adopted by the Oregon Utility Not' cation Ce ter. Th•-e rul= are set forth in OAR
952-,11-0010 through OA' • -.:1-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 503.2 2.1)87 r :•• 32 344.
` / '� r
I sued B y: e 1 s� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until completio • project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD SEWER CONNECTION PERMIT
111111 s COMMUNITY DEVELOPMENT Permit#: SWR2O14 00002
T t G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014
Parcel: 2511 OBC115o0
Jurisdiction: TIGARD
Site address: 12315 SW WINTERVIEW DR
Project: Troy Park,Lot 1 Subdivision: TROY PARK Lot: 1
Project Description: New SF.
Contractor: Owner: TIMBERLAND HOMES, INC.
12670 SW 68TH AVE SUITE 300
TIGARD, OR 97223
PHONE: PHONE: 503-620-8860
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/20/2014 $4,800.00
Sewer Inspection-Residential 02/20/2014 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,835.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of O'. Specialty Codes .1. : other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is 'of tarted within :1 days f issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the r es ..opted by t - Orego Utility Notification
Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a p of e rule or direct questions
to OUNC by calli . 2.1987 or 1.800.332.2344.
Issued By: r e fiee ; Permittee Signature: '
Call 503.639.4175 by 7:00 a.m.for the next available inspection
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 _ i 6
Residential �N��
tt►Rt)ltict: ltit.tJ\l
likCity of Tigar t 1 t paDaRlece
i attn e e/B
/iRB
e
: / L
Permit No.:
• 13125 SW Hall Blvd., _. OR 97223 \k ts1
m Phone: 503.718.2439 Fax: 50V9%111501,`" �gaelrifiNn Other Permit:it 3 c4„.,,,.
Inspection Line: 503.639.4173 Date Ready t y: i Jurs ® See Page age 2 for
www.tigard-or.gov Notified/Method: //h /37-) 'TX& Supplemental Information
ormation
0 r A SO
C.-NKr. -4 £Ct.‘,.....s,
' . REQUIRED DATA:1-AND 2-FAMILY DWELLING ilk° •
Permit fees*are based on the value of the work performed.
®New construction ❑ Demolition 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 °" ;T,,.,-,.'.'. _ work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $ G}"7,G `1'6_-,
❑Accessory building ❑Multi-family
3
Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 12315 SW Winterview Drive New dwelling area: Z 6 3 2._ square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: 4,,---9 t square feet
Suite/bldg./apt.no.: Project name:Troy Park Lot 1 Covered porch area: 20,1_3 square feet//4_Lek._
Cross street/directions to job site: Deck area: square feet I I( 1
Other structure area: ': 1.4, square feet`A
REQUIRED DATA:COMMERCIAL-USE ERCIAL-USE CHECKLIST
Subdivision:Troy Park Lot no.: 1 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: S
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Timberland Homes,Inc. Type of construction:
Address: 12670 SW 68th Ave.,Suite 300 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)620-8860 Fax:(503)598-9081 New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Timberland Homes,Inc. (P/eaurejato fee scbedtrk)
Contact name:Laura Blake Structural plan review fee(or deposit):
j S't2,VL wpW r
FLS plan review fee(if applicable):
Address: 12670 SW 68`h Ave.,Suite 300
Total fees due upon application:
City/State/ZIP:Tigard,OR 97223
Phone:(503)620-8860 Fax::(503)598-9081 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:laurantimberlandhomes.net) -te....ve,@firm. I,ey'Lythtd)'1/14$,M1~
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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 68th 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: OP permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
Print name: Laura Blake Date: *Fee methodology set by Tri-County Building Industry
/�' Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 44 -4613T(11/02/COM/WEB)
.. ., .
a
Electrical Permit Application (`t�� FOR OFFICE USE ONLY
City of Tigard �C�jl�l Rea
"`d Permit No.:
III • 13125 SW Hall Blvd.,Tigard,OR 9� Pllan Review
= Phone: 503.718.2439 Fax: 503598. r� 1 Date/By: Other Permit:
T 1 C.A R D Inspection Line: 503.639.4175 8 {,0`� Date Ready/By: Jun, 13 See Page 2 for
Internet: www.tigard or.gov [1N _ li , Notified/Method: Supplemental Information
TYPE OF •'`i` 'i.:'"7-... PLAN REVIEW
®New construction ❑Addition/alteration d•.wv- Please check all that apply(submit 2 sets of plans w/items checked below):
1 ❑Service or feeder 400 amps or more
['Demolition ❑Other: {` ps ❑Build Building over three stories.
U111 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 14000 ❑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" "1-2","1-3",
occ
Job no.:TP1 Job site address:12315 SW Winterview Drive 100HP or mare. waney.
❑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:Troy Park Lot 1 ❑Service or feeder 600 amps or more.
FIE SCHEDULE
Cross street/directions to ob site:
J Description [ Qty. I Fee. 1 Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Troy Park Lot no.: 1
1)000 sq.ft.or less 16854 4
Ea.add'I 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.)
Limited energy,multi-family 75.00 2
Single Family Residence residential(with above sq.ft.)
Rmewabie Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
i ® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 13356 2
I Name:Timberland Homes,Inc. 401 amps to 600 amps 200.34 2
Address:12670 SW 68m Ave.,Suite 300 601 amps to 1100 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: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 Z01 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 16854 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
® APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:Timberland Homes,Inc. each branch circuit
i B.Fee for branch circuits without
( Contact name:Laura Blake ) 5-f G i,c j,V4 service or feeder fee,first 56.18 2
branch circuit
d Address:12670 SW 68`a Ave.,Suite 300 Each add'l 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
t Reconnect only 67.84 2
E-mail:laura @timberlandhomes.ce 0)-hill id6-14,41,tICCY4 .h./1ir Pump or inigation circle 67.84 2
Sign or outline lighting 67.84 2
Business name:Neel 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/ZIP:Salem,OR 97304 Additional inspection(1 hr min) 6625/hr
Investigation(1 hr min) 6625/hr
Phone:(503)701-6257 Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic: 194105 Electrical Lic,: C747„ Suprv.Lie' specifically listed(1 hr min) WOO/hr
ELF.C7'RICAL PERMIT FEES
Suprv,Electrician signature,required: ' f /,..__,_.Q.12.....„67 Subtotal:
Print name: I ( Dom_ l/�/i y Plan review(25%of permit fee):
Mike Neel State surcharge(12%of permit fee):
Authorized signature: /-j Liu A__,� TOTAL PERMIT FEE:
Print name: Mike Neel( Date: /�j V This permit application expires if a permit is not obtained within 180
/ 0/7 r days after it has been accepted as complete.
((( . Number of inspections allowed per permit.
I:\BuitdmgWemnitu\:LC_PennitApp_ELR_EREdac Rev 05/21/1013 440.4615T(11,05/COM/WEB
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Date By: Permit No..
;, 4 13125 SW Hall Blvd.,Tigard,OR 97223 C Y
= Plan Review
Phone: 503.718.2439 Fax: 50359 Other Permit:
Date/By:
I I G A R D Inspection Line: 503.639.4175 O\(k ��Ready/By: kris. P
Internet: www.tigard-or.gov � Notified/Method: 0 2[or
N r
5 ` mritm
TYPE OF W t: COMMERCIAL FEE* SCHEDULE–USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteratio ..*..,,7• ` performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: ,�S1 mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONS 110N Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12315 SW Winterview Drive Furnace 100,000 BTU(ducts/vents) k 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Troy Park Lot 1 Duct work 2332
Cross street/directions to job site: 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:Troy Park Lot no.:1 Other: 2332
Other fuel appliances:
Tax map/parcel no.: Water heater t 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 33.39
Wood fireplacefmsert 2332
Chimney/liner/flue/vent 23 32
Other: 2332
® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:Timberland Homes,Inc. Range hood/other kitchen
u equipment 3339
Address:12670 SW 68 Ave.,Suite 300 Clothes dryer exhaust I 3339
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
{ Phone: 503 620-8860 Fax:(503)598-9081 toilet compartments,utility rooms) ) 2332
( ) Attic/crawlspace fans 2332
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Timberland Homes,Inc.
Fuel piping:
— $14.15 for first four;$4113 for each additional
Contact name:Laura Blake ) SfitAi� a IN h Furnace,etc. '
Address:12670 SW 68t°Ave.,Suite 300 Gas heat pump
Wall/suspended/unit heater
City/State/BP:Tigard,OR 97223 Water heater k
Phone:(503)620-8860 Fax::(503)598-9081 Fireplace
Range r
E-mail:laura@timberlandhomes.net tZ v -fl� �IdI10/04 r is vI
Barbecue
CONTRI Clothes dryer(gas)
Business name:Central Air Other:
MECHANICAL PERMIT FEES'
Address:PO Box 433 Subtotal
City/State/ZIP:Clackamas,OR 97013 Minimum permit fee($90:00)
Phone:(503)656-1908 Fax:(503)650-3898 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB tic.:178624 TOTAL PERMIT FEE
This permit application expires if a permit I not obtained within 180
days after it has been accepted as complete.
Authorized signature: �/lij�..�L= • Fee methodology set by Tri-County Building Industry Service Board
Print name:Andrew Scheidt Date: I /V 2,0 i t i
I:\Building Wetmits\MBc_Permits.pp_tra tt3.doc 440(-461 (I 1,02/COM/WEB)
I
•
Plumbing_Permit Application
Building Building Fixtures 4��NN FOR OFFICE USE ONLY
City of Tigard 1� Received b I S l i
Date/By:
IIII
• 13125 SW Hall Blvd.,Tigard,OR 97223 Review
■ Phone: 503.7182439 Fax: 503.598.1960 JP R Other Permit No.:
r A `%Dat�ey:
T I G A R D Inspection Line: 503.639.4175 C'X r•-.)r j� p ReadyBy: Ions: B See Page 2 for
Internet: www.tigard-or.gov c}��O 9�V`�Notified/Method: Supplemental Information
TYPE OF WORK ,,,,1i� �v f f FEE; SCHEDULE
®New construction ❑I)emalition 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 CI Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 50032
❑Accessory building ❑Multi-family
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:12315 SW Winterview Drive 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.: Project name:Troy Park Lot 1 Manufactured home utilities 50.03
Cross street/direction.s to job site: 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.:1 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 1251
Clothes washer 25.02
Single Family Residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Timberland Homes,Inc.
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:12670 SW 68th Ave.,Suite 300 Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223
Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25112
I.
Business name:Timberland Homes,Inc. Medical gas(value:$ ) Page 2
Primer 1231
Contact name:Laura Blake S.f.Z,1,.,L 2)fz w
Roof drain(commercial)
12.51
Address:12670 SW 68th Ave.,Suite 300
Sink/basin/lavatory 25112
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 6254
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 1251
E-mail:laura @timberlandhomes.net/ G-i- ee,l firf,be+"lttst,LIt LS, 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/ZIP:St.Paul,OR 97137 Subtotal
Phone:(971)563-3268 ' Fax:(503)633-8378 Minimum permit fee: $7250
CCB Lie.:184372 Plumbing Lic.no.:PB634 Plan review (25%of permit fee)
L 1 State surcharge T(12%L PERMIT fee)
Authorized signature: tii�t4 TOTAL PERMIT FEE
/�// This permit application expires if a permit is not obtained within 180 days
I
Print name:Steve Fowler Date: I after it has been accepted as complete.
°Fee methodology set by Tri-County Building Industry Service Board-
[:B)uildmgPetmitsPLMi1-PennitApp.dnc 10/0109 440-4616r(10)02COM/WEB)
Building Permit Number: /115,,,pi_ou,c
III ■ Building Permit Review
Residential Projects
II6AR1)
Site Address: 1231 g SW Wi*A4e-r'vi't,4..) hirt•s-`--'
❑Verify site address is valid.
Project Name & Lot #: rvov, Po".. - 1,ot 1
Clean Water Services—Service Provider Letter: (lot platted prior to 9/10/1995)
Required: Yes ❑ No El Received: Yes ❑ No ❑
Site Plan Elements:
12 Site plan must be on 8-1/2"x 11"or 11"x 17"paper ree(3)copies of site plan
12rDrawn to scale(standard architect or engineer scale) ,±prth arrow
12.1 ap and tax lot number,site address,Qroject or subdivision L?Footprint of new structure(including decks)with finished
,pame,lot number,and zoning t 64•) floor elevations
LlApplicant information(name and phone number)CA0 [ot and building setback dimensions
roperty corner elevations(2 foot contour lines if more than t area,building coverage area,percentage of coverage and
foot differential) impervious area.
Utility locations Of cation of wells/septic systems.
R'rxisting structures on site IdSurface drainage
[Zi<reet names feet tree size,type and location
control(including drainage-way protection,silt fence L.!!~.xisting trees to be retained with drip line,and tree
design,location of catch basin,etc.) protection measures
Pl nning Review
• Land Use Case Number: SV Pjlooi - 00011
Q'Zoning: R,-1
✓ Setbacks:
Front 15 E•41 Rear t6 F-4- Side 5F 4- Street Side (0 F I- Garage 10 F I'
CXLandscape Requirement: ?:V
ELot Coverage Maximum: $Q % ,
[ , uilding Height: Maximum Height 3S f" I- Actual Height
LJ Visual Clearance 01 A'
Easements
Sensitive Lands: ❑ Yes Type
Urban Forestry Plan
Conditions Satisfied
Approved by: }, 6U 1SSO■ 07(C"S S Date: V°1 ( I L{
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
1:\Building\Forms\BldgPermitRvw_RES_123013.docx
Building Permit Submittal
Original Plan Submittal: Date: ///L//l't By: 6 4Vdti,1
Site Plans: # 3
Building Plans: #
Create Case Record#: RI Ewer case#�abo�ve for Building Permit ber.
Workflow Routing: �p' i ring I�'Engineering R-1 mit1Coordinator LCYNiutlding
Workflow Sign-off: I� Sgn-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: R'Engineering. (1) copy of permit application, (1) site plan, (1) building plan and
o gifial plan review routing form.
Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Ag <-ie,✓ Jrre-Y-- Date: //V/y
Notes:
Engineering Review—reviewed by: 41,1 14.41— w
Actual Slope: 5 /v
❑ Conditions Satisfied
Notes:
Approved by: Date: / i 3/I—
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved El
Revision 3 Approved ❑ Not Approved ❑
' Permit Coordinator Review
onditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Applican
Okay to Issue Permit- I Date: / / 3
I:\Buil ding\Forms\BldgPermitRvw_RE S_123013.docx
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
12315 SW WINTERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00002
Jeff Grove
Violation Summary:
Inspector Contractor