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Permit
r, CITY OF TIGARD . , ` MASTER PERMIT 311 I -11-- f - COMMUNITY DEVELOPMENT ®0® Permit#: MST2015-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2015 Parcel: 2S103BB06100 Jurisdiction: Tigard Site address: 12517 SW 123RD AVE Subdivision: BROOKWAY Lot: 61 Project: English Hayes Partition, Lot 3 Project Description: New SF. 10/8/15, adding(1)bar sink due to basement change to habitable space. 12/8/15 adding(3)mini splits, (1)gas fireplace, (2) HRV's, gas piping for fireplace&(1)dishwasher. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 987 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 2494 sf Garage: 671 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3297 sf Value: $401,349.13 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain 1 Urinals: 0 Lavatories: 6 Dishwashers: 2 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: Y Hoods: 1 Other Units: 2 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 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: 6 201-400 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 3297 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 12700 NW CORNELL RD 2 Provide geo tech report prior PORTLAND,OR 97229 to footing inspection PHONE PHONE: 503-330-2215 FAX 503-342-2403 Total Fees: $25,418.60 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 952-001-0 hrough R 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling ,03,232.1987 or 1. 00.332.2344. Issued By: Permittee Signature: et-e, 02 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 completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY Received - City of Tigard I�crnn1 No le 13125 SW Hall Blvd.,Tigard,OR3 8 2015 Date/By: �� �Q/s��7d Plan Review Phone: 503.718.2439 Fax: 503'.5W1960 Date/By: Other Permit No.: TIGARD Inspection Line: 503.639,4171►+I OF TIGARD Date Ready/By: Jon, ® See Page 2 for Internet: www tigard or.g Notified/Method: Supplemental Information ....� _ G DIUISXON TYPE OWVI FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /A 5i 7 d§t.) /g3 el Af t, Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: eAgto,4 f fifYIS` k77.3 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 /47)b -7,/ 71Jit 5 h ,E4/v/T Dishwasher / 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNERLL'' I 0 TENANT Expansion tank 12.51 Name: J e_47- O 07) /�/1E5 Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Pee methodology set by Tri-County Building Industry Service Board. I:Building Permits PLMU-PermitApp.doe 100l 09 440-4616T(I0.02,COM'WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: ' Permit Fee: Footing drain- I" 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain- 1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional 100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10.001.00 to$25,000.00 $148.50 for the first$10.000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge- 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: • Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font El Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall 111 New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR9I 8-780-0040. ElCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 111 Any multipurpose fire sprinkler system. Domestic E] Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" Isometric or Riser Diagram 4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig. Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes - fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:ABuilding\Permits\PLM F_PermitApp.doc 08/04/2011 2 Mechanical Permit A l c FOR OFFICE(ISE ONLY`: ' �'�EIVE Cit of Tigard Received / yDate/By: / $ /7 Cab Permit No.:nf�ot S-ex70 i • 13125 SW Hall Blvd.,Tigard,OR 9722 �C 2015 Plan Review I" Phone: 503.718.2439 Fax: 503.598.19 ll Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 TIGAAD Date Ready/By: Juris: 621 See Page 2 fur Internet: www.tigard-or.gov Cjr OI• Notified/Method: Supplemental Information BUILDING DIVISION _ TYPE OF' WORK COMMERCIAt: FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees`arc based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equpment,labor,overhead,and profit. — Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Fors special i p r(jormallon use checklist. ❑Multi-family ❑Master builder ❑Other: Description J Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: t''2�jf. � 1 ?7_t, Air conditioning -_j--• 46.75 i'J tl e% Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 Suitelbldg./apt.no.: Project name: Heat pump `Kiehl 4Rts r5) 61.06 — Duct work 23.32 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: yt._(t L ,, i+c, ' L, „11 ,by Lot no.:-5, Other: 23.32 } Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert / 33.39 iiilZ Flue vent for water heater or gas n f{l>7j T /4 i/ill— 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 0 TENANT Other. (,/ 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen Address: 12700 NW Cornell Road equipment 3339 Clothes dryer exhaust 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: i7 "eiz?-4-0/gr Fax:(503)342-2403 Attic/crawlspace fans 23.32 ® APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: �� 514.15 for first four;54.03 for each additional t" Contact name: f of F'l Ch, Furnace,etc. _ Address: 12700 NW Cornell Road Gas heat pump Wall/suspcnded/unit heater City/State/ZIP:Portland OR 97229 Water heater Phone: g'7.1.--6 55-'56r/ Fax::(503-)342-2403 Fireplace Range E-maillPhilf@weshvoodhomes11c.com ...._ _ Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: _ MECHANICAL PERMIT FEES* Address:PO Box 433 Subtotal i 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 lie.:178624 TO'T'AL PERMIT FEE This permit application expires if a permit is not obtained within 180 / .y / days after it has been accepted as complete. Authorized signature: �* 9 r • Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgot ry Date: - 2,/g26-7 1 tBuilding\Permns\MEC_PermitApp_040,13.don 440-46177(1I/02/COM/WEa) �r 1111CITY OF TIGARD �i MASTER PERMIT IT COMMUNITY DEVELOPMENT �/ Permit#: MST2015-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2015 Parcel: 2S103BB06100 Jurisdiction: Tigard Site address: 12517 SW 123RD AVE Subdivision: BROOKWAY Lot: 61 Project: English Hayes Partition, Lot 3 Project Description: New SF. 10/8/15, adding(1)bar sink due to basement change to habitable space. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 987 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 2494 sf Garage: 671 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total. 3297 sf Value: $401,349.13 Rear: 15 PLUMBING Sinks: 2 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals. 0 Lavatories: 6 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 Other Fixtures: 0 Drywell-Trench Drain: 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 SrvclFeeders 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: 6 201-400 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 8 S:ereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasin Y Other: N Other Description: g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3297 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 12700 NW CORNELL RD 2 Provide geo tech report prior PORTLAND,OR 97229 to footing inspection PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,956.27 This perm t 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. ATTE ' regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 010 through OA 52-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 32.1987 or 1.800.332.2344. Issu d By: Permittee Signature: /-(— Ore Call 503.639.4175 by 7:00 a.m.for the next available inspection date. U 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. FOR OFFICE USE ONLY–SITE ADDRESS: /p5/7 S'G4/4.1-3114-Avg- 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 .7at 1 Transmittal Letter T i c A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE ?I:` Va'r DEPT: BUILDING DIVISION on 1 5 2015 FROM: JKI& �','(/& JIY Ok fIGARD OMPANY: k1efr1wa f 1om ec /1C (SHONE: q- BUILDING DIVISION` �( ' '�� - 50/� 5 BY RE: /aS/7 •�[.� /a 3 '� / E 45Taoi s-c-7d (Site Address) (Permit Number) t5L �r3 (Proje ame or su divis'o nark and 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 alculations. Other(explain): (-k,i,o LA2o-i o) REMARKS I ' t,�-aa w (4-4-3(-41-CI k, t--ko-vile) . • l) b 41P 4 i,kh FOR OFFICE USE ONLY Routed to Permit Technician: Date: )O - — ) S Initials: `f') Fees Due: ® Yes ❑ No Fee Description: 7 P j, rC v;e v' Amoun I -: • /°LA- 1,2/A1 -- $ 3 ,o o2T $ Special Instructions: Reprint Permit (per PE): CI es ❑ No ❑ Done Applicant Notified: /tmr I ate: /p/0_5" Initials: A 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 III CITY OF TIGARD MASTER PERMIT `�1 COMMUNITY DEVELOPMENT Permit MST2015-00070 T KC;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2015 Parcel: 2S103BB06100 Jurisdiction: Tigard Site address: 12517 SW 123RD AVE Subdivision: BROOKWAY Lot: 61 Project: English Hayes Partition, Lot 3 Project Description: New SF BUILDING Floor Areas Reauired Setbacks Required Stories: 2 Bedrooms: 4 First: 803 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 29 Bathrooms: 3 Second: 2494 sf Garage: 671 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3297 sf Value: $401,349.13 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 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: 6 201-400 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 3297 Owner: Contractor: WESTWOOD HOMES LLC WESTWOOD HOMES LLC Required Items and Reports(Conditions) 12700 NW CORNELL RD 12700 NW CORNELL RD 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97229 12700 NW CORNELL RD 2 Provide geo tech report prior PORTLAND,OR 97229 to footing inspection PHONE: PHONE: 503-330-2215 FAX: 503-342-2403 Total Fees: $24,748.25 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 spended for more the 180 days. AT • • : • •.n law - ires you to follow the rules adopted by the Oregon Utility Notification Center. Tho - rules are set forth in OA 952-00 -0010 through OAR 9 .11-009 r. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or,�'.332.234 / issu d By: / , _ • /L:....A .d 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. 1 Buildigg Permit Application "2.9 -7-. ) Residential FOR OFFICE: l SF()NIA City of Tigard Received Date/By: S 7 /5 Permit No.:t./57 )/'5 -a O • 13125 SW Hall Blvd.,Tigard,OR 97 Plan Revi w�`Q� 1 /� A I Phone: 503.718.2439 Fax: 503.598 ECEIVED Date/By: �/Vr 215 ° Pe^uit:AO�C otc—a ,V9 1 t C,A R n Inspection Line: 503.639.4175 Date Ready y: Juris: 0 See Page 2 for Internet: www.tigard-or.gov MAY 7 2015 Notified/Method:ed/Methood: 7 /5---� _ Supplemental Information n xAl_.. , .r .°iii A a, • 'S,„ V' 7 TYPE OF Wttlity OF TIGARD REQUIRED DATA:1-AND 2-FAMILY DWELLING -77 ®New construction 0,511401thiG DIVISION $t p,,/ 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: �'* K\iii equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑CommerciaUindustrial Valuation k Ail-- ...4-41<)----rar -k‘ksit•-) Number bedrooms: �/ l er o ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: as /7 51-1 (73"f Ave New dwelling area:3z 7 7 square feet City/State/ZIP:Tigard,Oregon Garage/carport area: C.Z (. square feet Suite/bldg./apt.no.: Project name: F_A9 1 t31,, Neye4 Ati f)11iti Covered porch area: r 7-0 square feet 2494_ Cross street/directions to job site: Deck area: square feet W=Z Other structure area: 35 be) square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: E y1/r�tt S& Hey , /b , r41-�l h Y I Lot no.:3 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. new detached sfr Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER I 0 TENANT Number of stories: Name:Westwood Homes LLC Type of construction: Address: 12700 NW Cornell Road Occupancy groups: City/State/ZIP:Portland OR 97229 Existing: Phone Q?d- Cle-' otg Fax:(503)342-2403 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* lease Business name:Westwood Homes LLC l "�°1a ise Structural plan review fee(or deposit): Contact name: /■ +r FLS plan review fee(if applicable): Address: 12700 NW Cornell Road . City/State/ZIP:Portland OR 97229 Total fees due upon application: x} ,// Amount received: I-i 7'//)e Phone ill" 67?,' �l$ Fax::(503)342-2403 V E-mail tt Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Same as applicant (437&4 ),*zr s 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 $18000 and administrative fees): Phone:( ) I Fax:( ) o State surcharge(12%of permit fee): $21.60 CCB lic.:195597 Total fee due upon application: $201.60 Authorized signature: ". / 5 1 air. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. /"Y/Y /tee *Fee methodology set by Tri-County Building Industry Print name: f .(c- Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) . r Electrical Permit ApplicationRE FOR OFFICE USE ONLY 111 City of Tigard ���� �Data 7 /S o�(j/S_el e,070 - • 13125 S W Hail Blvd..Tigard.OR 97223 Plan Review y Phone 503.718.2439 2439 Fax: 503.598.1960'''m, 7 2015 Date Bs. Other Permit ail i��}b i s-t'oc�{9 Inspection Line: 503.639.4175 "Date Ready'By Jura El See Page 2 for TIGARD NnificdfMethod, Supplementallnfomation Internet: www.tigard-or.gov (f'T , F Tl GARD' T1PF OF valloPINU DIVISION Pf PLAN 1 X1EW ®New construction ❑Addition/alteration/replacement Please cheek all that apply(submit 2 sets of pions w'items checked below) ❑Service or feeder 400 amps or more ❑Building over three stones. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards CATEGORY OF ('O\ti'TIIItC I10\ exceeds 10,000 amps at 150 volts or ❑Floating buildings less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑InstaUarion of 150 KVA or ❑Emergency system larger separately derived system. 3011 SITE 1NFORSIAT1O\ AND LOCATION ( ❑Addition anew motor load of ❑"A","E","]-2","1-3', Job no.: Job site address: /�f , / °v 100HP or more. pampa tiny. 1 C ` / 5L V ii' !/N,e ❑Six or more residcnliai units. ❑Recreational vehicle parks. City'State/ZIP:Tigard OR ❑Health-care facilities ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal. Suite/bldg./apt-no.; Project name: ! ❑Service or feed&600 amps or more FEE SCHEDULE Cross street/directions to job site: -Description I Qrs. I Fee. [- Iota! I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: ryl^','5/ 1,000 sq.ft or less - ( 16854 4 YI Ea add'I 500 sq ft or portion 33.92 1 1 Tax roap/parcel no.: Limited energy,residential DESCRIPTION OF WORK - (with above sc.ft.) 75.00 2• Limited energy,multi-family 75 OC I 2 new SFR I Renewable ergy sq ft.) I ❑ See Page 2 Services or feeders installation.alteration,and/or relocation ® PROPERTY OWNER I ❑ 'rENAN7' 200 amps or less 100.70 2 201 amps to 400 amps # 133.56 2 Name:Westwood Homes LLC 401 amps to 600 amps 200.34 2 Address: 12700 NW Cornell Road 601 amps to 1.000 amps 301 04 2 Over 1.000 amps or volts I 552.26 2 City;State./ZIP:Portland,OR 97229 Temporary services or fenders installation,alteration,and/or Phone: .71-1-Cr t'-.e.1 Fax:(503)342-2403 relocation 200 amps or icss 59.36 1 Owner installation:This installation is being made on property that 1 own which is not 201 amps to400 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 1 ® APPLICANT i ❑ CONTACT PERSON ' A.Fee for branch c:twin with a'oove service or feeder fee, Business name:Westwood Homes LLC each branch circuit 7.42 . 2 rot 1 B.Fee for branch circuits without Contact name: 1 L service or feeder fee,first branch circuit 56.18 2 y Address: 12700 NW Cornell Road Each add'l branch circuit 7.42 2 City/Sta[elZ1P:Portland OR 97229 I Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phont: 171-67-g--cc i g I Fax::(503-)342-2403 dwelling,service and/or feeder i Reconnect only 67.84 2 E-mailMegifialWestwoodhomeslIc.com Pump or irrigation circle I 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business era �1&L.,, Signal&remits)or limited-enerm, See Y1 D - panel,alteration.or extension. Page 2 2 Address: t l L kC% 7 Si b trice_ gT' Each additional inspection over allowable in any of the above Additional inspection(I hr min) I 66.25/hr City':'State/ZIP: LJ�i 4.�t� vim^' J1 be_ tk-101S Investigation(l hr min) 66_75/hr Phone:503 .. c8-isms Fax: s_--t b2_ \mod i Industrial plant(1 hr min) 78.18/hr p Inspections for which no fee is I 90 Op/hr CCB Lic.:Lb�1J�g Electrical Lie.:3. �,Suprv.Lie..: 3�gs specific-211v xOv listed(h hr min) i I E:LECTRICAI. PERMIT FEES Suprv.Electrician simaturc,required: <-). • 4i241-t-l'-' - Subtotal . Print name.. t . , t .-�r Date:41 1 1'� Plan review(25%of permit fee): [AD --1-0-,la State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 160 Print name: I Date: days after it bar been accepted as complete. ------ • Number of inspections allowed per permit 1 Laud, Fermin.fl-C_Pe:vmfApp_ER-F7.E doe Re.05/21/2013 410-46151(11105'COM'wEB Mechan'Fcal Permit Application FOR 01.1'I( 1. 1 N1: 0\1.1 RECEIVED Received Date/By: _ City of Tigard 7 /S Permit No.: /`1"5rX)/5-. j7o 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �� /� r� ■ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit: c�w(.ip_490S- e/9 1 I G n R n Inspection Line: 503.639.4175 MAY 7 2015 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov C�I-� OF TIGARD � Notified/Method: Supplemental Information TYPE OF .D}NC DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees'are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 5/„./ Air conditioning 46.75 Job site address: 2!j l 113t.• ✓e Furnace 100,000 BTU(ducts/vents) ( 46.75 City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 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 Pa Flue/vent for any of above 23.32 Subdivision: r„,_7(...,/, 4 ye S ratf l -,Grp Lot no.: 3 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater (i 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas new SFR 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 ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Westwood Homes LLC Range hood/other kitchen equipment ( 33.39 Address: 12700 NW Cornell Road Clothes dryer exhaust i 33.39 City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms, � , toilet compartments,utility rooms) 5 23.32 Phone: i'I1r- 7f-" l t Fax:(503)342-2403 Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Westwood Homes LLC Fuel piping: $14.15 for first four;$4.03 for tech additional Contact name: illo ,t Fr i tee, Furnace,etc. 1 Address: 12700 NW Cornell Road Gas heat pump WalUsuspended/unit heater City/State/ZIP:Portland OR 97229 Water heater Phone: f?./.-6 5/-co-i's Fax: :(503-)342-2403 Fireplace it Range I. E-mail:M Jwestwoodhomesllc.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Central Air Other: MECHANICAL PERMIT FEES* Address:PO Box 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 This permit application expires if a permit is not obtained within 180 110 . days after it has been accepted as complete. Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board Print name:Jon Montgo. Date: 4 1:1Buildingl Permits\MEC_PermitApp_040113.doc 440-4617r(I1/02/COM/WEB) Plumbing Permit Application Building Fixtures FOR OFFICE ISF ()NIA City of Tigard RECEIVE Re�tvea s 13125 SW Hall Blvd.,Tigard,OR 97223 .111111 • DateBy: 5 /5 Permit No.:N`jTo/O� 0007O Plan Review gin ^ls �(f� Phone: 503.7182439 Fax: 503.598.1960 C DateBy: Other Permit No.: �-W� 7 T I v A 1i D Inspection Line: 503.639.4175 MAY 7 2015 Date ReadyBy: hris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK CITY OF TICARB - FEE* SCHEDULE ®New construction ❑ o DnING DIVISION 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 ® I-and 2-family dwelling ❑CommerciaUindustrial SFR(2)bath 437.78 SFR(3)bath ( 500.32 ❑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: 175( - 5U 12 J"CI Ave_ Catch basin or area drain I 18.76 City/State/ZIP:Tigard OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: _I Project name: 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 r 3/ II �f�, I Water service(no.linear ft.:_) Page 2 Subdivision:f m C31h t fK (5 P42/41('1 ell I Lot no.: 3 Fixture or item: Tax map/parcel no.: / Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 new SFR Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Westwood Homes LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 12700 NW Cornell Road Garbage disposal 25.02 City/State/ZIP:Portland OR 97229 Hose bib 25.02 Phone: i 7-/- f;}1-coif Fax:(503)342-2403 Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: tN2 ��'(M e J `` Medical gas(value:$ ) Page 2 /�,� / /� Primer 12.51 Contact name:S't Q4# F t'.L'ke, Roof drain(commercial) 12.51 Address: 5 a pie 05. 4„,r- Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:a-4( )614- 516 Fax::( ) Tub/shower/shower pan 12.51 E-mailiift{t westwoodhomesllc.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: H&H Mechanical Water piping/DWV 56.29 Address:5757 SE Willow Lane Other: 25.02 City/State/ZIP:Milwaukie OR 97267 Subtotal Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:178122 /Plumbing Lic.no.: Pr y�y State surcharge(12%of permit fee) Authorized signature:�z.r77i-2--,A -�/. I TOTAL PERMIT FEE e'er This permit application expires if a permit is not obtained within 180 days Print name:Dustit vague / Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) l . • City of Tigard is COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Residential I its 1RI) Building Permit #: H_5T c9Dl 5—640D7I> Site Address: /c 2S/9- ` ,(j /c3 f j Project Name: E n (; s i 4-a,�e s fP a,.F;.- 6 n Lot #: 3 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N Pty S f-4— Ll`ierify site address/suite#exists and active in permit syst . ver Terrace Plan District: ❑ Yes ' I No Si uPlan Elements: ree(3)copies of site plan 'sting structures on site MS a plan must hg on 8-1/2"x 11"or 11 x 17"paper IaFootprint of new structure(including decks)with finished yawn to scale(standard architect or engineer scale) or elevations North arrow Utility locations(required for new,may apply for additions) ki,Sife address,project or subdivision name and lot number Iii G.cation of wells/septic systems gi plicant information(name and phone number) J Erosion control(including drainage way protection,silt fence t dimensions and building setback dimensions sign,location of catch basin,etc.) ( Lot area,building coverage area,percentage of coverage and ,._,�eet names pervious area(applicable if R-7,R-12,R-25&R-40) Ij2S eet tree size,type and location [ Property corner elevations(2 foot contour lines if more than Existing trees to be retained with drip line,and tree 4 foot differential) I protection measures mi Clean Water Services—Service Provider Lett (lot platted prior to 9/10/1995): equired: ❑ Yes,applicant was notified rg No Received: ❑ Yes ❑ No lld Public Faciliti Improvement(PFI) Permit: `� /Required: tYes,applicant was notified ❑ No Applied For: V yes ❑ No,stop intake leiLand Use Case#: LP 2oj —OOQO L�1 Zoning: V L./, lel Setbacks: Front 00 Rear Lc— Side Street Side /S Garage Q() 4i andscape Requirement: to i of Coverage Maximum: L/Building Height: Maximum Height a Actual Height c-99 L1G isual Clearance Casements IYl Sensitive Lands: [ld Yes ❑ No Type > c�S 4Q 6 Urban Forestry Plan „Sipper Conditions"Met"prior to issuance of building permit Notes: ©,; /� U191111'74-• t-:. 71— n c17L %uP ,`jLU fd l 0 pei!/'t 171$ .e.eGt 'Li A.1. - /JP- ., Z1'i _ Approved By Planning: 0 . Cps�-� Date: 5 - 7 — IS- , Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Bui Iding\Forms\BldgPermitRvw_RES_031015.docx . . Building Permit Submittal Original Submittal Date: 677/5 Site Plans: # Building Plans: # Building Permit#: 3'Enter building permit#above. Workflow Routing: Er Planning I Engineering 0--Permit Coordinator .ErBuilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: a Engineering: (1) copy of permit application, (1) site plan, (1)building plan and oral plan review routing form. 1�Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4 Date: Engineering Review ,Slope at building pad: 7 7 7 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: , Yes ❑ No LIDA Facility on lot: AYes ❑ No / NOT Approved by Engineering: � /� Date: 5//�/ i 5 otes: �!�%r — Ph-V J'C0r vn.e op darsar06�f4 i*-+�� it Q d Approved by Engineering: U I� i�u G e Date: '/a 5/45 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building pe Approved,NOT Released: / Date: 5//8-?1-5- r ra � Notes: �Gr, -Coe f c' G4 Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: pr-OK to Issue Permit Approved by Permit Coordinator: a . c...,...,44.---- Date: 6 ".2 (a --/-5 I:Building\Fonns\BIdgPermitRvw_RES_031015.docx Building Permit Application 2� Residential FOR OFFICE USE ONLY City of Ti Received h' and g Date/By: I /5 Permit No.:tN 7V-0/6'1'000 O •1111111- 13125 SW Hall Blvd.,Tigard,OR 97 �/ Plan Revi Phone: 503.718.2439 Fax: 503.59AEC E V V E® Date/By: n �'(�,j Other Permit: ���Sir r !�� TIGARD Inspection Line: 503.639.4175 Date Ready y mns 63 See Page 2 for Internet: www.tigard-or.gov MAY 2015 2 1 Notified/Method: Supplemental Information 5 - T1 PE OF Wpiti V OF TIGARD REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction �$rt(g1 ltnynr-, D1VIS UN 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 ork indicated on this application. ® 1-and 2-family dwelling ❑CommerciaUindus 0 Vatuation1 I ❑Accessory building CI Multi-family Number of bedrooms: l ❑Master builder ❑Other: Number of bathrooms: 3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address: as i7 5 l„/ ��Y� Ave New dwelling area:'Z,7F- square feet City/State/ZIP:Tigard,Oregon Garage/carport area: (.F ( square feet Suite/bldgJapt.no.: Project name: EN9 i 31, fkir.4. , 9J*))) Covered porch area: 17o square feet2 Cross street/directions to job site: Deck area: square feet eCI'� Other structure area: 5 ha) square feet J /- REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Eh/li S& HT 5 Foe-4-141 C A I Lot no.:3 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. new detached sfr Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER I ❑ TEN.%NT Number of stories: Name:Westwood Homes LLC Type of construction: Address: 12700 NW Cornell Road Occupancy groups: City/State/ZIP:Portland OR 97229 Existing: Phone Q7(- (.71-)O1$ Fax:(503)342-2403 New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Westwood Homes LLC (Please refer m fee sckedule) Structural plan review fee(or deposit): Contact name: M AI re/G. , FLS plan review fee(if applicable): Address: 12700 NW Cornell Road Total fees due upon application: City/State/ZIP:Portland OR 97229 �f q�.� 1.4--11?,_ Amount received: yf `� cx Phone ( j0($ Fax::(503)342-2403 �, E-mail4�t✓Westwoodhomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Same as applicant 1.j$/HK.•:-,/ 4/1Yrles 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 Phone:( ) Fax: and administrative fees): ( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195597 1 Total fee due upon application: $201.60 Authorized signature: f,,Y., s y�zors- This permit application expires if a permit is not obtained ` // within 180 days after it has been accepted as complete. Print name:1%14' ,�, e Date: *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 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 ! a� Transmittal Letter r i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: k 4-4--- DATE RRFACKIVEP DEPT: LDING DIVISION JUL 2 3 2015 FROM: r i '�f ee CITY Of IFIGARD COMPANY: j 'I t 4 C'tI 4thC //i:' BUILDING D1VIS10l� 9 PHONE: J 9/e 1- 6�� By: RE: ) aS 1 7 ,t-J / 2j'-1- AU'c ► GJ vL�;- Ono 70 (Site Address) (Permit Number L3 ject ne or suivision name d lot nui\nber) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I 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): �J REMARKS: ,• Lac- cAA.o ' 611/ 1 _. J.—z la . „ .. • IAA- ■..1lc A)— r-- , _M' 11.111011Pr FOR 0 'FIWALOSMIX mir _ Routed to Permit Technician: Date: 7(23 l� Initials: Fees Due: ❑ Yes o Fee Description: Amount Due: $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes e'o ai Done Applicant Notified: 1r - F Date: / j c----- Initials: ' 7, I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 illi ..--s- , Transmittal Letter r I c ;n RI) ,�' f3125 SW loll Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 10: DATE '',"MEP DEPT: ING DIVISION Fit JUL 2 9 2015 FROM: /1I 'G kQ CITY OF TIGARD COMPANY: 1/26000 /*/ yj 5 C BUILDING DIVIS PHONE: q//` t�j l — 5o/ e By RE: 2 S I SL✓ IZ3f' CO Av�-Z Tito(5- co 7a (Site Address (Penult Number) IA 71 1 1, Oa if" P - - e (c- Projebt name or subdivision name and 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): ,- L REMARKS: Ni °4 -fy/v5s (aoo/ Drfii 1/7115-5 �Ct/C0�0'1 1 C/6 Routed to Permit Technici.j Date: S imm`lims Fees Due: • Yes 1r o Fee Descri ption: Amount Due: $ $ $ $ Special Instructions: Re print Permit per PE : • Yes ❑No ❑ Done A. •licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Electrical ?crmiLLApplicadon RECEIVE I ; I, (?I i It 1 I L, , r , Ili 19�2�3 a W Fir�il Blvd T�url'21! 472,3 S E P 16 2015 ,•,9 /4 = '' s��►/S'—p00 7• ii Ibaoa 303,713.2439 Pmt,. S9e.19 �' lespeodon Line. 303.639.41 ITV OF TIGAR t '{ y; leserset ,w.,,,tigard•or•gov BUILDING DIVISIu �• a.'.'ig ttli fiCS'A7'71!'9:1a.1�';i sciL:Mr 4'4..TA:wizi..b.0:1�{�p:74I �,4" '• ,�t +,tti'J�_tt��1 .t!'t• a. 1 R7. , 11' New aonatructioll ❑Addition/alteration/replacement 4'±f:�..1 tTil'� 7 t4J w.a 1�J��1 1�. ,.i �`r .1 •{<t It ra"!? S rs Pim*area an Ow . as a ... li t',. ❑Damalfioe ypfi�(whale er,.Lw.,no... .. ., Other ❑Ser f loc or leaser 400 amps or more r+2 n�,�e� V :I whoa Dive avvitibb CI ail w aver Arse rMr1K 1.-riT +`.'?°.Lw2 V LIk.. .1 .y°!:i�r .•.r o i r'r i:1. ;i oa:- ` . }�yi:^? r+Fa'::` ,r3, s a ,0 Yo Q'Mew HO Bail• M•,tv'�..1.�r.rd.SJ: �1 rye! { ;!4pu. ; /L'!�YS **moll 10,01p a1 ZOO NDId .14 I-,std 2-fsmilydwelling ❑Comm rcialAnduotris] "*s" tx Onowosi•or.p. Q�+arbufidlag � ut1mt«'uaaoraroMo�faoao (�lbellaralaFaaaOariou7Wnl • +Meld rdly yy ■ Mix builder ■ pt} Ems Swan other�tant=. buathog i••{i~''r'.4i;'Miullia; a a:iF y:J_��"k.r .1w �, w,.,,y,... ti .13 Fire pump. ❑loat•rlatkle 2 asi t1,i ,t ai t.Tgt ' Ti". ' ; u °s n.., or bclt{ye of m..a��> �:{ �, ..Zt�i�.9.,.a:'�'^,li�isE'�:�':.s:1i ��1�1W'tyaYm. 11th aaparar0ly 4arlued Job#: Job site eddreac 12517 SW Ave D Adstaoa of eve trtoior logd of Cit�ylStaiisZlP:Tigard,OR 97229 Irk 40 t or mare Q"A;"Er,14:1-3% /a3 Cr❑sk or ow.1o'111aatlal who compsfi ey. Suite/bldg./apt.M: Project name ❑14410 &oil , a%.crag tolilola plain. 1 roj I7 os loostiens. El Supply veiny tor ranee ills Cross atreettduectioae to job Ste: p g■+ba or?oar ttoo,rapt or rate, 60O valet rlominu. .iO :-axr8 t -' c..•''L•!'�?il:+�y--•.It;ids:. ps :'ft` i„ ar New real deeges ale a Or Mild-fam ily e��!dwellings*. Subdivision:Luglleb Rays;Partition LorF6 Yr:lydaattetedyrt;, t^L+iA Tax map/parcel peal 3: 1,t1O014 d;Teo ° i4�:", j39t° �: tl 1vn •. .p n c n—.ea ea.WWI%) for 13%94 4 ..i ,.i a n i.�..i ��:a_ .:.L•S I�.Srs•Litl .sQUVI Algey :5 ,I;RY.1,i4: t�ini �1• � 53 5!2 �� Ntw$F8 c '} c..77?/ Lr C`•A// 7d ,m - 1 ?SAD �ri1 I adaR6arle y y� �* p?-�t residential Ott!abate A.) 75.00 II CR `.. .'..: �a ,,-0.t;:' . ii l,.t :I'-...� fu�'�',��,,,p, f�1 :7 ! ''�R4 hit•ti,P,„, . kedewalla EMS` 11 5"ThallT3 Name;Westwood Homes;LLC ,s nn fig. .,.1.. IS.�{:Mp ekes W reeks tartal • • abem1ae #Dade' reiocit10v 200 mr�or los 100.10 p Address: 12700 NW Cornell Rd 201 my.ro40a rya 133.36 � 401 w 6m r.. 200.34 © City/Stew/ZIP:Portiaad,OR 97229 norm(�71�78-6014 F�c; — _ sal am- so 1 COO eta s 301.es MMli ._ ( ) OvrQ 1,00D M�cr volts _ ss226 &nt1A: rabeat a fee services or der,hastslistioa,alteration,aadlor Owner initellationt Tltil inetsilation is biting made on propd't3r that 1 own whinll is not 700 as or less 39•36 ME intended fir sales lees,rent,or exoht�,according to ORS 447,449,67O and 701. 201 amps to CO , t Owner signature. Date: 40! , d ,':'':tl - tr"'f-,. iii!�„�'?�'�s117. " ,y� F? ! "� �- r. �r 14raaeh 1'11' "' sera •4 .�,r<�.��' �4J,..zK���'S'rt,,-�'.�i°;,+a�{r� a. —Ilea OR eat - Bmltness name:Same as Owasr A�• . .' strove a...tn.Or ec outCometComet esarout Detach eIroail 2 B.?ate*trod dretdte widow Addratt servio.orisasarfeet flee halskcirool...._____ Cityl�atat:gl ' Each ! 1 r.1Odt -- — M ( ) Fa7i::( ) A7beellan .vs _ is r feeder notla Q Entail: — - bm'oo�altred Or men a � yl � dw •. m16� 67.84 :4;}Y•" :^2•P'� �Il�h�`(- bY.?'S d�a- � 'ui`iQ �wt� '.; tr i; jeS �' f ;ir t ,., .�,�.�" �„•--, &confe tor* _ 6714 I Business jj �e o�e,a"l !_4�i r t”; �'r :t+�^i3;;1:;'.:.' 1 Tamp of trri�ttfon ends 67$4 �� narst` C� T; c Sign ar outfit'H3btioa 67,84 MEf Address + d z~ • Algol cinolt(a)or llalaea-q,�y ` D See p s �a .0.altiroitlgor actadaen, city,Statta n,: !Ma 0r0 0 .� Each;additionaltnet>.eden veralio blela a am awn e Aediticad in<o,1(1 Is 3rd) 66.23/lir III Phenix(, )) •mil' D w invcaigarlco(1 la min) 90.0W hr f +I P (1 brmtn} 76181 hr ! Milli ' Suprv.Lk, L �� a lilted 14 it.fbo is 4D4O/hr v "l; a�m t ivi' ! rSuprv.Electrician signatures required: f.,,AI Price name: Cr, O aite: / 5ubtt>ral t7 p lPim Reviver Roguirsi(25%o r permit five): iii Authorized stgnaare: state 8b(I 2S4 otfpermit he): I TOTAL PERMIT'FaE tt )`Fiat Warn*: Date: tai:per�.re �sn+lo.repels K I verab tp rot oohed*ads 18P 1 sari Ow U liar bar ateaptad as e•4pkta. i t`4 i��L�remfMDLGJorakUyp_13I7t 3RE.Coc Rr+t, 17120!s 1 • Number of iatpettioa Wowed pc posit. 146.411CtII. mss i Electrical Permit Application--City of Tigard Page 2--Supplemental Iaformadon Limited Energy Permit Fees: Renewable Energy Permit Fees: r- �•1{S'p'b 111'1�{s�':�3'=�' �: M �G,,,,� sr a�,, 4� .ray � "3.4 ♦ 1 31 1 r• f 1�) 1! � , ��``a�? L.. �b�rCliti�p,� �d-J ��W'�'� 7.♦,�+t �i��;x �C �n�w � :wit ��` � � 5�ej,�):��M���,�.�,�u . Fee for>a reshknt l fly stem.combinedt $75.00 � lteaawr,Dlo'kettles' -• '. tam Cheek Type of Worklavalved: 5kwodes II 100.70 3A t to 15 kvi 19336 ❑ Audio and Stereo Systems* 15.01 to 25 hi 10034 E] Burglar Alarm .+ 0111 n'Mom in MOH of On tom.: 25.01 to 50 kv4 901.04 a Garage Door Opener* 50,01 to 100kva 552.26 �© >la bi a:Gi, 55256 Heating, with OAR 918-309-0040} _ Ventilation and Air Conditioning Solar gestation whims le eXcem of 2'It at ❑ Vacuum Systems* path kns-so!kva over thaw ��MU / r10t1 kva—so addlNmai sl Othar. 54-1 1ite.i �/y�f� Feo0,1 ! :LL.r1_11 ► h aftheabove .... .. 66'2s1 hr which oo ata fa �. kilos! a hr$ l6 r111/1 4040/hr ,:1 $ "I it��'4 '7 V1. 'C' ,iZ.'4 ti74( 6��_7� ;.y + z•,i� v�� t!i`�t��5:;;t— Reef � ki�.,'.�..;7,'r., for commercial system: $75.04 6uboosai tTsaw ao Page }: (SEE OAR 918-309-0000) �+tums.rotaap.oaoee perparevl Check Type of Work Involved: • Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation © HVAC ❑ inst tunentatinn ❑ Intercom and Paging Systems Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ per: - - F Total number of commercial systems: — *No licenses are required. Licensee are required for all other Installations melinphtaginELC_permkArolut-EluAux ite Nil MC" FOR OFFICE USE ONLY—SITE ADDRESS: /A5/7 J J /,2 3 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 III Transmittal Letter T 1 G A P.D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE '4.'E QED DEPT: BUILDING DIVISION �j i Mccfrt F r / NOV 4 2015 FROM: I �i e ci (�F AGAR!) �7 I �� BUILDING DIVISION COMPANY: �,QC,�I/Ve�'LY f/ 1,'4 Q� L-C PHONE: I - By:0 4 ?-� 5j0/ RE: 12 S 13 1/\) 12.221_00 ig✓' IS—CJ�7E� (Site Address) Permit um er) t"- It\I kl, (A 9—e-5 Pa ' c(\ rojecipame or subdivision ame and tot ,mb ATTACHED ARE THE FOL . i ING I Copies: Description: Copies: Description: Additional s- s) of plans. x Revisions: 4 y9 )'ri e g r,Y'! Cross secti'n(s) and details Wall bracing and/or lateral an lysis. Floor/roo' framin. Basement and retaining walls. Beam c. culations. Engineer's calculations. Other explain): REMARKS: FO OFFICE USE ONLY Routed to Permit Tee 'ician: Date: I/ � 9' J 4 Initials: Fees Due: N1 Yes • No Fee Description: Amount Dtte: p �' $ . $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ff No ❑ Done Applicant Notified: /'7,477 Date: ///5 J/S Initials: W4,9/L— I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final FAIL MST2015-00070 David Young Cancelled per contractor, not ready. Will reschedule when ready. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final FAIL MST2015-00070 David Young Cancelled per contractor, will re schedule when ready. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final FAIL MST2015-00070 David Young Smoke detector covers to be removed for testing. All else ok. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical final PASS March 21, 2016 at 2:07:30 PM MST2015-00070 David Young Corrections complete. Note: fan trim cover to be installed at final inspection. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing final PASS MST2015-00070 David Young Provide approved thread sealant on clean out caps. 316.1 will check at building final inspection. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS MST2015-00070 David Young Correction complete. 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 12517 SW 123RD AVE, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O MST2015-00070 David Young Final erosion control approved. Street tree certification received. Moisture content form received. High efficiency lighting form received. Duct seal test report checked. Insulation certification received. Retaining wall by deck post 4' at time of final inspection. C of O left with builder. Violation Summary: Inspector Contractor