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Permit CITY OF TIGARD MASTER PERMIT 4 COMMUNITY DEVELOPMENT Permit #: MST2010 -00006 D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/05/2010 T I G AR Parcel: 2S109DD11500 Jurisdiction: Tigard Site address: 15716 SW GREENFIELD DR Subdivision: BELLA VISTA Lot: 45 Project: Bella Vista Project Description: New SF • BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 932 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1080 sf Garage: 378 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: sf Value: $220,492.18 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Catch Basins: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Other Fixtures: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Bckflw Prevntr: 0 MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum > =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: 3 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr: Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea add Br Cir: 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: Owner: Contractor: Required Items and Reports (Conditions) RIVERSIDE HOMES INC RIVERSIDE HOMES LLC 1 MST Ersn Cntrl 503 - 681 - 4444 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 #370 Beaverton, OR 97006 BEAVERTON, OR 97006 PHONE: 503 - 645 -0986 PHONE: 503 - 645 -0986 FAX: 503 - 690 -2942 Total Fees: $14,995.10 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. ATTENTIQN: 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 theaugh GAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ■ Issued By: ■_ likt i 1 il �. .i i Permittee Signature: A-'66 6 / 3- 3--(a Building Permit ApplicationREPNED Residential .�,, - . �_ r •" r _ , , 52010 �� HoR, Fuses oNl _ ';R, city of Tigard AN Received f /o � qC, Date'I v: / ( Perm No. ra'id�'o-' r; ® ° 13125 SW Hall Blvd.. Tigard. OR 97223 �/ OF TIGARD Plan Rc "ire - .� Pl 503.639A 171 Fax 503.59R.196O 1 1 � � � ��� other ',ern,: o`kv2�o�a DaLYI��` D ate 13v *'?' Date R frig" hu 0° T! ;' A D ' I nspect i on Li ne: 503.639.4175 DIVIS �.. BUILDING cac .r S See 2 for Internet: ++'++'+ +'.11gat'd- nr.gow Nutifte• 9��thnd: i . � Supplemental Information TYPE OF WORK 'Air • EQUIRED DATA: 1- AND 2- FAMILY DWELLING • New construction ❑ Demolition r 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' /l- and 2- family dwelling ❑ Commercial/industrial )��e ❑ Accessory building ❑ Multi - family Number of bedrooms: 1 E Master builder ❑Other: Number of bathrooms: Z. . JOB SITE INFORMATION AND .LOCATION Total number of floors: .Z Job site address: / 5-,7/G/ Si.0 fc ,/ � � New dwelling area: '7_0/2 square feet City /State /ZIP: Tl®04.e0r t0i G3' 7 Garage /carport area: 13 square feet Suite /bldg. /apt. no.: Project name: ec 11/S 7771 Covered porch area: ,7 square feet ci? Cross street /directions to job site: L GF• �� / o . Deck area: square feet Other structure area: -L ?.290 square feet ■ REQUIRED'DATA: COMMERCIAL- USE CHECKLIST Subdivision: e0e— Lig V/ < 7--Ft Lot no.: ... 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. Valuation: $ Existing building area: square feet New building area: square feet ( PROPERTY OWNER ❑ "TENANT Number of stories: --\ Name: / ,7iv/es /DE /4 ��, %G • Type of construction: Address: / 91 33 A /i) / A le) 394 Occupancy groups: City /State /ZIP: p7 4? /,, `/ // ktieie7b / ` D , 2 Toee �O Existing: Phone: (S03 4' 5% 09134, Fax: (603 / !d .211/2_ New: , :APPLICANT • ., '13 CONTACT . PERSON _ -. NOTIICE Business name: X45 A A All contractors and subcontractors are required to be Contact name: 73/1-Z- ���'�� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing. the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: 73(./). nerd err r/ V de //^ �� p • 6044 CO CTOR Business name: l/ A. A „ BUILDING PERMI FEES'- ' • Address: (Please refer io Jee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: 31 /1 '^[ Jc< Total fees due upon application: � � • c.4 Amount received: 7 Authorized signature: Thi permit application expires if a permit is not obtained ' d / 1 /� within 180 days after it has been accepted as complete. �L �1 � Print name: �G O, Date: /2`/ * Fee methodology set by Tri- County Building Industry Service Board. I:A Building VPermits \BUP- RESPernitApp.doc 10/01 /09 440- 4613T(11 /02ICOM /WEBI Electrical Permit Applicatiol E� ,;.„:.:...-n- ;Y" ::1.6K'4:o14H1E1 usE:t i . Received -. ;. ° City of Tigard SAN - 5'201U bate li,: f /;o C, ,� Permit No NS %a0 /0 0000 G� 13125 SW Hall Blvd.. Tigard - OR 97223 flan Revie(c C Phone: 503.639.4171 Fax: 503.598.1960 Date By: Other Permit: A.4)4 ao7o - oe405--. • T-1 ': 1 ': ''' Inspection Line: 5(13.639.41 75 CITY OF TIGARD Date Readv(3y: !uric ® See Page 2 for - , c, Internet: www.tigat'd- o.gov BUILDING DIVISION Notified Method: Supplemental Information TYPE OF WORK PLAN REVIEW , • _ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w items checked below): ❑ Service or feeder 41(1) amps or nu ❑ Building Darr three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. • CATEGORY OF CONSTRUCTION • exceeds 10.000 amps at 150 volts 01 ❑ Floating buildings. Tess to ground. or exceeds 14.000 ❑ ( bmmnercial -use agricultural X 1 - and 2- tastily dwelling ❑ Commercial/industrial ❑ Accessory building • amps for all other in,taIlali( building.. ❑ Multi - tastily ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation 01 75 KVA 1)r JOB SITE INFORMATION AND LOCATION . El A ∎ » stem. larger separately derived ,urn,. - / /) ❑Addition of new 1110101 load of ❑ ..A.-...0.....1-2... -1 Job no.. Job site address: /��/ W 7G �w� � I(IU o more, icsi occupancy. L��7 // ❑ Six ur more ie,idrmial units. ❑ Recreational vehicle parks. City/State/ZIP: �� � ® ? .'''222./ ❑ Health -care facilities. ❑ Supply voltage f n more than /// J ' ` , / ❑ Hazardous locations. 600 volt. nominal. Suite /bldg. /apt. no.: I Project haute: 1J 1 / j G'4 ❑ Service or feeder 600 amps or more. ///��� / /// 7 ��� ,�� � : FEE SCHEDULE Cross street/directions Ili job site: • / JA .�E - Ec /V[// t-� Q / a �\ . d Description I Qty. I Fee. 1 Total 1 . L New residential single- or multi-family dwelling unit. Includes attached garage. /4 I // STI //s I mo s 0 . or less 16 / e, sd Subdivision: I! J/ /�{ Lot no.: ` y ,1/4 Fa. add] 500 sq. ft. or portion 3 33.92 ( rife I Tax map/parcel no.: Limited energy. residential 67.84 �9,� DESCRIPTION OF WORK (with above sq. 0.) �^7.Cf r ' Limited energy. multi - fancily 67.84 residential ( with above sq. 0.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 . ./ PROPERTY. OWNER / - • ❑" TENANT ' 201 amps to 400 amps 133.56 2 Name: /e/ /�25 /fie l i w ie_ ° /n /G • 401 amps to 6011 amps 200.34 /v /�f 601 antes to 1.000 antes 301.04 2 Address: /7/33 / / ) ,V i 6/ / /'r Over 1,000 amps or volts 552.26 2 City /State / ZIP: 6 V � 7ait/ OR 7G�& Temporary services or feeders installation, alteration, and /or relocation Phone: (Sp 3 Sys e 215,e,,, I Fax: 3) :) t9 0 c2.9 iz 200 amps or less 59.36 ' I Owner installation: This installation is being made on property that I own which is not 2201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchang' according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 168.54 2 � J� Branch circuits - new, alteration, or extension, per panel Owner signature: ( Date: Z A. Fee for branch circuits with APPLICANT • - 1 0 PERSON . above service or feeder fee, 7.42 2 /// ii .S A " each branch bran circuc Business name: B. Fee tier branch circuits without service or feeder fee. 56.18 2 Contact name: / G L ff hp / � 416� first branch circuit Address: Each add] branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or nodular 67.84 dwelling. service and /or feeder Phone: ( ) /� ®_ Fax:: ( ) Reconnect only 67.84 2 E E-mai l: {�u)a � 0� n` �^ u // C p 4 Pump or in igation circle 67.84 2 ONTRACTOR . ' - • • . ° Sign or outline lighting 67.84 2 Business name: ,� ff l - / 5., Signal circuits) or limited - /Ug ;A v ' V t energy panel, alteration, or Address: < 6 ...S IA / h ,S�- extension. Describe: Page 2 2 City /Sta /ZIP: t' 0 Z-7-_-3 Each additional inspection over allowable in any of the above Per Inspection 66.25 Phone: (93) 5-7 / 1 f Fax: ( g.81 72 95-7, Investigation per hour (I hr min) 66.25 CCB Lic.:/r3 7! c, I Electrical Lic.: Suprv. Lic.: y(0)_....5- Industna! plan! per hour 78.18 - .. ELECTRICAL PERMIT FEES: . Suprv. Electrician signature, required: Subtotal: -3-3s, 14 Prins name: ,..., ..., 4 Date: Plan review (25% of pennit fee): State surcharge 1 12% of permit fee): 40. Authorized signature: TOTAL PERMIT FEE: 3 78,7z Print name: ".5c e f' I r Date: This permit application expires if a permit is not obtained within 181) �/� dais after it has been accepted as complete. -- 1 Number of inspections allowed per permit. 1: Building Permits GU'- PeunitApp.doe 111 111 1)9 440- 41>151111 Oi COM (01113 12/13/2009 16:40 50365038 E F 'V D CENTRAL AIR INC PAGE 02/02 From: JAN — 51010 12109/2009 09.25 #443 P.002/002 CITY OF TIGARD . , � �. = w Mechanical Permit Application D IVISION . ' .. . ..b...,.,._... -4.4,' :.. - z . ' `` .. City of Tigard «iaad S— lei k� Pennil N/7 Dal; a ii _. D D t ,+� 131 25 S9,' Nall VA . Tigard. OR 0722} rtun xr, iv .-- 18 Phone: 503.639 417 FAX: 503.5911lyhl1 pnit(fy: t)ther Pdnnii: r i. /e)' O ,... S X r 1, Inspection Lind S03.639 .311 5 !Lie xesd■ It). �� ® Sec Pate? for -; r, w'et• Into—nut r , vaua.tiyat tt- nr.ct Nni■nrr hladr+d: INII XuUplrmealal (gemination �. (y v + y r R cN y u +Ft *s t n: z r 2 2iza EW: tar/ ` fr+ t3 ai r.p ( ,ilid's ''yyr.:MUM ' � a• : � t• • 1Cin � ,a?. tR'q �_ • T,.6'4r sa ..s.�.�c�SaY Mechn,uCPI p.'r nt lest ate baRiX1 nn the vnhta or the ivork F N, „ c(n<tru ❑ Addititm ,ilterationtreplaeemenl parfonned Indicate the value Imm to the nenrest dollar) of oil ❑ Demolition ❑ Other mechanical materials. equipment. Tabor. overhead. and mtit. � ,:.- a xs': �s tdt`xy�>xt , �'I - • - • ., VUIu S ��j q t { 701 : 1 atWirf itre'l�.t .r„ f�jr, r >. , 3.4.ck ;'.. �` 31° ~R'1 71sr[- ttx:+�s..dNia:cl ,a ,Y�dC` teMe.>` L''M?An�L�"4�p:i ".tK iv . y { 0 -ap• i , t l r Ta r N ° U"b' :' � F:..�'�rH:�'i� 1:'~lu�:"�:aa,+ ��, -- /I )• and 2- family dwelling ❑ Conmcrcialrinduslrial ❑ Accessory building /q, p /,rCir,/uni „nu,riott,nr rherkrt 0 Multi family ❑ Master builder ❑ Other: Description Qtt. En. Tout q �crr_.y+.7• Vii` a �*T' 1! site t:.,�+ +� ° „ y ;,, „ d i � • ^��.;.+� � + ��mu1� .�r:' � :l,j�'fd� �,� �i./ /� 1 Heating/cooling _,_ � i Airconduitmtn. ✓/ (rcuum..iu ian.bou'Inv dpcctnnn /� Cit /State ?ZIP: T��ize,D � 9 ?72 ' Furnace 1011.000 BTU dtuct , gips) NE 46,75 L.M. ♦ / - i Futnacc 100,00X)+ BTU IfIKIN tent,) I= 54.91 r Suitz,' nn.; i Project name: / a (� Beat Pump 61. 06 Cross street/directions to rob silt: I Duct work 23 32 NM - -- 11 dr+mic Inn waters stmt 23.32 Residential boiler trwlialor or i h xhnnic) 23.3 _—, Unit heater:( fuel -type, not clechtic ). in -wall. In•ducl. Su. aided, etc. 46. F1UC' \'eTt lift an , of above 3.32 Subdivision: I.ot no.: � — sear: — 1 BEI Tax mop/parcel no.: Other Inds. fiances " ,� ;i ** } , `�\ 7;• * fry 7 3 ( . f•Ifi •5 .Ft Y . P , :r>r $741 Water heater 111111 23.32 � % y�� ±± ,n:.:a... r.- e,G,.u:M . it a>k'Wu. ,. /.�' ;... :X.. >r.�`J,+t �.. Glufire lace i 13.39 MAR Flue vent Ibr water heater of gas rm. thee 23.3 IIIII Lo. 1'-htcr(:asl 1 3.32 ErgEral 33.39 IEEIZEEEIMIIIIIIIIIIIIIIIIIIII 23.32 MN r 7,, vv � r ¢c .., � , r Chintn /Diner /Ih./v nt NM 23.32 J;F%Y y ft� J ' y� l n; a, rsi, J 0 EWT I Tac3E' 1 r + ice }� kt +X Name: . --/ ( ,•/e // ,e5 /t/C- • i Environmental exhaust and ventilation Range bocuU,+thcy' kitchen Address / 933 , ' 4 ) iU p., e 3 ab e•ui•ment 33.39 INE City/Stole/ZIP: � r� � eve � �Q ClMbe e d set 33.39 '/ Single-duct exhaust haust (halhrr Inns. ,�l}lf'�ia Phone: As 7 5 e ' j _ F ” I l3 -90 / 2 toilet eom . tvnents. utiiit • moms) :3 �I a : a tr r' 'nq ` Jv t t r •tr i : r t cr -.aI to Attie ;eruu•Js• fate 23,33 1.1t.t' •u `'� r f r, .t t :l .. � , r ti � t Pr r F i r s t t.. :: , . �,� ` � �L`..R�.. l.. •, +.�. ul�it .. a.i...- 3S1u.S ['.i e ..i'r....... _v.v..... -s A � Other. 23.32 Business name: Full •i'in: Contact name: "E LL � 411 bt) SI4.I5 for first four: 54.0:1 for froth additional IMEMIIIINI111111111111 Gas lutat • um city /State/ZiP: I Wallisuspended'unit heater Phone: I 1 Faa:: ( 1 Water healer Email R111 Rlla k 1;r•c '77 -'r 7r , r r .`. ` .n� e ''�' ' r ` -Pie 42' :; u Q Ii �'rt C 1 t r Vi4. F _� r'- r..:s'^;w. ...@wl:) -_. ....n:.t:�;. 1,: . ,...if '1:'..1:21.. =: r•+ .: ct. Clothes di NI ( tie) Business name: Ceistr/i pew :7_ Ce . - Other: otheY Address: c i ' ,'� .... ti + . "F O ; � .. a r ..H 4 :.• ` t •ty� 1 �.1,' f 1,f. r ; l C1 ` f 1 , 0.W..K City/State!ZIP: C • s Qom. 110 its Subtotal t 1 p Manama permit fit (590.001 Phone: (53) 654 i4ba Fax: (SDI) ‘Sc �T a� i0 111.1111.11111MMEMEEMEMESI CCB lie.: : 6 .1 '4 Slate sureltsi ; e (12°/4 of P 01191 feel : _ Tilts permit applicant's esptrto If a Weil' la sot OM althin 1Rn Authorized signature: dart aher It has been accepted as complete. Pont name: Y I Dale: i2 /8 �Q tl d k %et by 1'n- 4Int? tlUltning Inpn.try Set, ict Boast I: nut iirp Parma >d1P:f•rcnnit'tUp.dor 1 +11 w „14Inl 7111 I o c 01U1 RECEIVED Plumbing Permit Application JAN - 5''2010 Building Fixtures t > 4.7/0 ' y "3 - FOR • OFI•ICH ' - ONLY'i ' ' ' '. e l - , CITY OF TIGARD R ece�,ed ' 'k : City of Tigard Permit N y �O /0 �� OO 0 ' : a 13 (25 SW H Bl T OR 9 ILDING DIVISION D 1;,: �' Plan Review ;L C7tok. �`a0. s i B : Phone: 503.639.4171 Fax: 5113.598.19611 Permit Nu Data B,: Other r t y Inspection Line: 503.639.4 Dale Ready By: hai : E1 See Page 2 for . Internet: www•.tigat'd or.go\ Notified Method: Supplemental Information �f TYPE OF WORK FEE'' SCHEDULE . - 1[J New construction ❑ Demolition For special information use checklist. / Description Qty. Ea. Total ❑ Addition /alteration /replacement ❑ Other: New I - 2 - family dwellings 1 includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION - SFR (I) bath 312.70 71- and 2- family dwelling ❑ Commercial /industrial SFR (2) hash 437.78 I SFR (3) hath / 50(1.32 7 jLL , ❑ Accessory building ❑ Multi- family Each additional path /kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( ski. fi.) Page 2 JOB SITE 'INFORMATION AND LOCATION • • Site utilities: Job site address: /52/‘,/ S`v ; AZ4 Catch basin or area drain 18.76 / d - C/ /� Drywell. leach line. or trench drain 18.76 2 City /State /ZIP: 1 22 Footing / Footing drain (no. linear ft.: ) Page ge 2 Suite /bldg. /apt. no.: 1 Project name: /', ^ /��CGA OS 7...AG Manufactured home utilities 50.03 Cross street /directions to job site: Manholes 18.76 Ram drain connector 18.76 Sanitary sewer (no. linear ft.: _I Page 2 Stoma sewer (no. linear ft.: ) Page 2 ' / Water service (00. linear ft.: ) Paget Subdivision: je� Lot t no.: S Fixture or item: Tax map /parcel no.: Backllow preventer 31.27 ' DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 - PRO PERTY' OWNER , ` I• .0 •TENANT,.. • Expansion tank 12.51 tl J /�� ' //Lie- • Fixture /sewer cap 25 0 / 2 Name: , / 33 446) 6 .e u ia, y 3 -7o Floor drain /Hoot wink /huh 25.02 Address: , Garbage disposal 25.02 City /State /ZIP: ,5�� Vie Ta c% Z .7� Hose bib 2 5.02 Phone: ($031 4/5 D1v v Fax: 603 6,9 .2 ..72.__ Ice maker 12.51 ' AP PLICAN.T. • - , . ❑' CONTACT PERSON ` nterceptor /grease trap 25.02 I � Business name: c� Medical gas (value: S 1 Page 2 Primer 12.51 Contact name: "E i`L �A GQ ��e__ Roof drain (commercial) I2.51 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: a, J tone- - e7) v �S� m om � 044 Urinal 25.02 .. Water closet 25.02 O N TRACTOR`. - ! / / Water heater 37.52 ¢ f Business name: 05/4-/-) /97eL/�e'�vi / LG (/ Water piping'DWV 56.29 Address: 5'7J 7 ) Af/ / // Li/ Other: 25.02 City /State /ZIP: mi /A.,a/ k/>' 17267 Subtotal �. Minimum permit tee: S72.50 Phone: (SDy 1 q -- ).f - . a, 7 s' Fax: 6-5 1 f Plan review (25% of permit lee) CCB Lic.: / 7 s• / L y Plumbing Lic. no.: 7/3 G / /L/ State surcharge (I 2% of permit fee) ,C}4 Authorized signatures , TOTAL PERMIT FEE 4� This permit application expires if a permit k not obtained within 180 days Print name: yr ��� �p . (� Date: after it has been accepted as complete. C *Fee methodology set by Tri- County Building Industry Service Board. 1 : Building Permit. 1'I-N1I1- PenniiApp.dnc 10 ()I 09 440 - 401(,11 10 (12 Cr1N1 WEB) r GEOPACIFIC ENGINEERING, INC. 13910 SW Galbreath Dr., Ste. 102 Sherwood, Oregon 97140 Phone: 503 - 625 -4455 • Fax 503 - 625 -4405 Special Inspection r JOB # - p57r24' ( v r U«� DAILY FIELD REPORT PROJECT Z 'la t%/ s - , .l n %�.v� ,� DATE ?, A./A C) • / 7 JOB ADDRESS /, ¢ y S TYPE OF INSPECTION ). PERMIT NO. WEATHER= .,,:; ✓ '/lV / l /n.vr< / / / Inspection Notes: (Include location, testing date, substitutions / deviations, materials, methods of construction, conformance statement, etc. r 71 ( 1 v r G+ 1)1; , it -ice ,* 7. V: A" <.r i C /. /7 . s�i, S r 7' Z /7 ir�,.,�i t ����/ /L O.1/ rn A7 A7. �J`�tU l,, L 5 17 T 1 / ! . 6� C e . ) fi c : L uo 5 /a r2.e-s 17/;".4/1 It 72. o; n Ar i . ra 1i tr? 1 flY1 'J 14 p <1, ✓: i . .l Z / t 4,', (1, '1 O �l C /i 7 l^-� 14 _ 1 Y / 1 P Sri ! s �� / � i , , . r � / s 17-#1.7 /„ : G -r— / 7 a I/n .� / / V v( /(,/ l7. - z, 1 Axe ✓�1� -2 9 /,,s o .Y 1 /Pi r/ s -K 1-2) e : (nom N n /s ,r,• j' _.,r ..r �'� i P.- 1'71 R h O.? .,,. iii i / /, r ! t ^, -! / C ., 4 6* c' r l iTh L r 4/, l CV't. O.4K /.oZr/ r _ t i if � s • ' r t / • • • • ll Observed by: . • Information contained herein pertains to materials tested /inspected only. The fact that any particular work has been observed or tested does not waive the contractor's responsibility for the means and methods of construction, job site safety, or to comply with the contract documents. Oregon Residential Specialty Code R318 e2 i l SST2)t l,U -ao 6 MOISTURE CONTENT ACKNOWLEDGEMENT FORM \kir s id e H ©wl es L LC , am the general contractor or the owner- builder at the following address: Site Address: 157 to S LA) (-re P � 1 .� ( � Drl ve_ City: i ()Alfa Permit #: AA Si 2010 -- 00W Subdivision/Lot #: 13 N; i / �• s ,� and /or I �f ± V ['of `T Map and Tax Lot #: • To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: _ ► —`- _ Date: General Contractor /> � • Owner -Buil •. r Q I L� v.1 - 401( i.(,C— l:\ Buildin Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: IM S i 2010— 000 O;( Jurisdiction: c t • �\ 0. Site Address: I s 10 SCA & rP:evi . e..1,4 Dr. Subdivision/Lot #: Be.( a V t, / i S "i_ /� 1/0(- and /or `T Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Si jy Date: j (� Owner /Genera Con actor/Authorize. Agent R i tiers, c zz. /mes L LC- Print Name: Le e_ SeAl 1 ORSC Section N1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent Lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:\Building\ Forms \RES- HighEfficiencyLighting.doc 07/01/08 1 STREET TREE CERTIFICATION 1, ...4;14/t. © , - Owner /A for 11 (rs Lele N e ,s LL (PLEASE PRINT) ! I (PERMIT HOLDER) 1 , Do hereby certify that the following location meets City of Tigard land use and development standards for e street tree install i ADDRESS: 1511(4 Slit/4) ) 6fie-lcl Drive. 0(.X1--0. SUBDIVISION: eA ��► ,, LOT: 4 5 SIGNATURE: ; - DATE: /9 //a • ,/NER /AGENT) RECEIVED B • : DATE: (Cl' Y OF TIGARD) I:A Building \ Forms \StreetTreeCertilicate 01/19/07 A 1 \ • c � _.)\,, 4 ... 1Ntk n \ \ 5' P 6A5 201.0.000 a(, (J�.tSi G � v — ' S\- 0 � ' i. GE SCALE: 1 = 20' P� \ O S` � C2 1)12 A l e-F 0 • \\\ /5 • EASE \ \\ \ ��F /� -.O t ' , Al .... ' - \ \ \ \ - \ 2 Ti Dom. - - (6 - - --' - - . -0 ' . s' \(:) , .'� 2. a \ \ ` O 00 � 1 g \ i � Ni- - Q /* VD ! i \ \\ \ \. ..'\- \ Z .' _ \ .\ \ \ \ ,f-"S it)(.( _ j \, ILO r \ \\ \. �� —, S (LT F�,c( ': ( r 1 ' l^ l i < \\ \ 0 1, ' . - , -- - \ \ \ \JE �b \ \ \ \ ' °o S Z ) ' N \ \ - - ' �* ( \-\ •-, c -/� 2 �/ l \ \ \ /. -- i t 0 00 , \\ \ \ • y / !/C I-41 i /�Zi 7- �r� /Iq.E_: ..." kg4. 11 V . O • \ ` :50 14//7 ._.n( 1H-6101,TV ',tit - . R= 19.00 V i U� , l� \ L= 29.85 2 �% Ap r' • TAN = 19.00' ( S; � r .� DELTA =90 °00'00" VOW ; ■ w Fir IP II Illipt \ R= 142.19' y \ 0 \ \ ,-- L= 53.85' 4..`r TAN= 27.25' SS —�\ / / DELTA= 21'41'51" \ \ �� SW GREENFIELD DRIVE \ \ BELLA VISTA LOT 45 ENGINEERING at LAND SURVEYING 7DESICNED: \ (PREPARED FOR: R J ���� 885 SW Canyon Ln. DRAWN: RIVERSIDE HOMES �_\ $ sulto 402 SW 1925 NW AMBER GLEN PKWY, SUITE 200 1 ∎ l\ Portland, OR 97225 BEAVERTON, OR 97006 \ _ CHECKED: (503) 645 -0986 t � ,,,►! ii Inc. RJ (503) 690 -2942 r DATE: �. � 3 503) 291 -9398 6 '`" .,:f nED (Fax) 291 -1613 J �_ PX - rl ..... w IN rr CITY OF TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO.; ryl - 2 r) 01614 O PLANNING DIVISION: Z.Tr= Required SetbJs: �,/ Side: Street Side: rov C Not Apr),�,,; Front. _. garage: ( / Visual Clearance; '--- Rear. , �` `' Building Height• ❑ Not Approved Buildin b eight 3s feet CWS Service Provider Letter Required: 0 Yes ❑ No � ` B . thertt Date: ' 9 ' eeeived ENGINEERIN c9- i Actual Slop C�D PAR MENT: P : ____ % A ro Site n; A PP ved 0 Not Approved B : Approved • N Approved Notes: Date: Z S 1' CITY Of TIGARD - SITE PLAN REVIEW BUILDING PERMIT NO (6T2 pin - O(�( O, Street Trees: �pproved 0 Not Approved Protected• lE� Approved ❑ Not Approved By: �/��c � /� ` z u'' Date: f 5 /iJ Notes: