Permit t
�� CITY OF TIGARD
MASTER PERMIT
, .: COMMUNITY DEVELOPMENT Permit #: MST2009 -00224
T {AD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/19/2010
CR
Parcel: 2S112CC19900
Jurisdiction: Tigard
Site address: 15722 SW 81ST AVE
Subdivision: GAGE FOREST Lot: 6
Project: Gage Forest
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 3 First: 973 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 24 Bathrooms: 3 Second: 1359 sf Garage: 400 sf Front: 20 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes
Total: sf Value: $253,591.40 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: 4 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 addl 500 sf: 4 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amr: 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)
TIMBERLAND HOMES INC TIMBERLAND HOMES INC 1 MST Ersn Cntrl 503 - 681 - 4444
12670 SW 68TH AVE #300 12670 SW 68TH AVE STE 300
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 620 -8860 PHONE: 503- 620 -8860
FAX: 503- 598 -9081
Total Fees: $15,910.92
This permit is • sued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special $ and at of applicable law. All work wit
be don= n accordanc- ith approved plans. This permit wit expire if work is not started within 180 days of issuance, or rf wA is, suspended for more the 180
days ATTENTION Oreg• la requires you to follow the rules adopted by the Oregon Utility Notif ation C er. hose/ rules are set forth in OAR
95. 001 -0010 through OAR 9 -001 - ' 10. You may obtain a copy of the rules or direct questions to OUNC by callin 503.2? 6.:6 or .800 •32.2344.
1 4 &44( jt A4 _
Iss . -d By: _ _ Permittee Signature: .-
. t
Building Permit Application
Residential ilia F��:Tda� �� �, �.
7 M}h IV t � � � / ' " � " I , FhI� mik NI t va + ({ �t� �M "' +� �`�.
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t ie ° City of 't igard 'I DateiB Cs d t '1 Permit No.: M "A' ..40
_ .: .� /
4 1 I 13125 SW Hall .417 Tigard, OR 9 8.19 u EC ® . 3 LOOJ Plan Revie swill � ?c1i9—o0 /3/
G ' . ° Phone: 503.639.4171 Fax: 503.598.196 Date /Bv � Other Permit.
tik °�
l" Inspection Line: 503.639.4175 Date Ready /By
't . 1 El See Page 2 for
i'mlk — � R'D www.tigard-or.gov OF TIGARD • VI ' � � Supplemental Information
?AaE Internet: www.ti ard or. ov CITY Notified Method: ,
BUILDING DIVISION
• TYPE OF WORK _ REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. ZZ Q A,
® 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ .0 5
�/ �. T
❑ Accessory building ❑ Multi - family
Number of bedrooms: 3
❑ Master builder 0 Other: Number of bathrooms: 2.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: 15722 SW 81st New dwelling area: 2332 square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: 400 square feet
Suite/bldg. /apt. no.: Project name: Gage Forest Covered porch area: 0 square feet
Cross street/directions to job site: Hall to Langtree to 81st Deck area: 0 square feet
Other structure area: 0 square feet Z2 --
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Gage Forest Lot no.: 6 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
•
New single family residence Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Timberland Homes, Inc. Type of construction:
Address: 12670 SW 68 Ave, Suite 300 Occupancy groups:
City/State/Z1P: Tigard, OR 97223 Existing:
Phone: (503)620 -8860 Fax: (503)598 -9081 New:
- ❑ APPLICANT ❑ CONTACT PERSON -
NOTICE -
Business name: Timberland Homes, Inc. All contractors and subcontractors are required to be
Contact name: Maureen Denny licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12670 SW 68 Ave, Suite 300 jurisdiction in which work is being performed. If the
City /State /ZIP: Tigard, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -8860 Fax: : (503) 598 -9081 11 6Z) /� i
M C—
E -mail: maureen @timberlandhomes.net � �JA GOPOU
CONTRACTOR
Business name: Timberland Homes, Inc.
BUILDING PERMIT FEES*
Address: 12670 SW 68th Ave, Suite 300 (Pleaserefer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: Tigard, OR 97223
Phone: (503) 620 -8860 Fax: (503) 598 -9081
FLS plan review fee (if applicable):
CCB lic.: 141715 Total fees due upon application:
WiatA...._ Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Maureen Denny Date: I L/! / q
* Fee methodology set by Tri- County Building Industry
J Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02 /COM/WEB)
--- 12 G8 -'09 13:24 FROM- T -592 P002/004 F -957
LieciriCal rernm HppeicatIUee : r v t K
_ a ti`µ ?1„� ,1.� .y�''��,, �• i: ;: d:`?s 3 �, pi:
lir -�' City of Tlga a. p p P«tnit rso.. nv 13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
. Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: Auk eoF-- 42/3/
'" '. %` Inspection Line: 503.639.4175 Aate Readv/fly: Juris, El See Page 2 for f
,V7 i.:trni Ii9 Internet: www.4gard -Qr.gov $otified/M,etbod 0 e D D t7 t7 n o ri i nA or.►for
matio a
TYPE OF WORK PLAN REVIEW
0 New construction 0 Addition/alteration/replacement
- Please check all that apply (submit 2 sets of plans whims checked below):
❑ Service or feeder 400 amps or more 0 Building over three stones.
❑ Demolition ❑ Other: where the available f9alt current ❑ Marinas and boatyards.
CATEGORY OF CONST1tUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
- less to around, or occeeds 14,000 ❑ Commercial -use agricultural
® 1 - and 2- family dwelling ❑ Commeroial/industrial ❑ Accessory building amps for all other installations, buildings.
❑ Multi - family ❑ Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor Toad of ❑ "A" "E' "1.2 ", "1.3",
•
Job no.: Job site address: 15722 SW 81st tOOHP or morn. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
. ❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt no -: Project name: Gage Forest 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Langtree Darription I Qt.. i Fte. 1 rot„ 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less —. ` (
Subdivision: Gage Forest Lot no.: 6 � �%"/E8' 4
Ea. add'/ 500 sq. ft. or portion 4 33 j 2 ( l
Tax map /parcel no.:
Limited energy, residential
DESCRIPTION OF WORK (with above sq. fr.) f C 7 2
New Single Family residence Limited energy, multi-family 2
g Y residentia (web above sq. R.) _
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Timberland Homes, Inc.
401 amps to 600 amps ., 160.60 2
Address: I2670 SW 68` Ave #300 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)620 -8860 Fax: (503)598 -9081 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 10030 2
intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension. per panel
Owner signature: _ Date:
A. Fee for branch circuits wire
® APPLICANT ❑ CONTACT PERSON • above service or feeder fee, 6.65 2
each branch circuit
Business name: Timberland Homes, Inc. B. Fee for branch circuits
Contact name: Maureen Denny
without service or feeder 18e, 46.85 2
fast branch circuit
Address: 12670 SW 68 Ave, Suite 300 Each add'', branch circuit 6.65 2
Miscellaneous (service or feeder not included
City/State/ZIP: Tigard, OR 97223 Each manufactured or modular
90.90 2
dwelling, service and /or feeder
Phone: (503) 620 -8860 Fax: : (503) 598 -9081 Reconnect only 66.85 2
E -mail: maureen®timberlandhomes.net Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Lighthouse Electric energy panel, alteration, or
Address: 27750 SW 95th Ave, Suite 109 extension. Describe: Page 2 2
City /State /ZIP; Wilsonville, OR 97070 _ Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 582 -9600 l Fax: (503) 5824484 Investigation per hour (1 le min) _ 62,50
CCB Lie_: 154897 Electrical Lic.: 3 -562C Suprv. Lic.: 2783S Industrial plant per hour - 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: I ,'2 Z ;
Plan review (25% of permit fee):
Print name: Mike Neel Date: t Lf t f l7c j
State surcharge (12% of permit fee): 3 V , ' 5,
Authorized signature: TOTAL- PERMIT FEE_ 2 7 4- d , 7 3
p� This permit application expires if a permit is not obtained within 180
Print name: ! V �( ra J , Date days after it has been accepted as complete.
Number of inspections allowed per permit.
I: 1Bu1lding \Permits\ELC•PennitApp.doc 05/23 /06 440- 4613T (.11/OS /COM/WEH /trcT 67.6-4
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- 12- R8 -'09 13:24 FROM- T -592 P003/004 F -957
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City of Ti rd /;, f fq APi Para No.: 07 aF '
s ' o 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 4 . /) q
, k. ; d Phone: 503.639 .4171 Y:
171 Fax: 503.598.1960 Other ` wit "��Cl/�ol009 „id.
i ,.. „ 1 Inspection Line_ 503.639.4175 pate Ready/By: ill Bee Pap , r
samiettears Internet: www.tieard Noti£ad/Melhod: Sappleasental hsfortaadoo
' 4�?�7 - i i7 "tea . e ra A • . - + :S '+ iLt J
"- - — Mechanical permit fees' are based on the value of the work
►:� lvew construction ❑ Addition/alteration/replacement performed. Indicate Me value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mecbanical materials, equipment, labor, overhead, and profit.
r *�, to ,; -� value S tin
CommerelaUndtlstnaJ ( Accessory building n
d :.: i .:_i �,._irl . :t,,� -.� :a a4 t., :41.. . _ 4 a1 +A .- ` M :' E I � � n i t r;-- �
farnil dwelling ❑ ry ^? . - ait� "ti a� r t1Y
gl 1- and 2-
Y ❑ For special rnfermoriori tcsx checklist
O Mutts family 0 Master budder 0 Other: Description Qty. Ea, Total
C,?^ i �ri� 1.:i-4.; r fr ;`- C , rir ]Ter - conditioning
et
r . ' _ J -
A r tuna" " g
Yob site address: 15722 SW 81" Ave .. uirer site ,Ian showin :.laeemcut NMI
City /State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (dactiNents) 46.75 NMI
Furnace 100 BTU taucts/vents) 54.91
Suite/bldg./apt. no.: Project narne: Gage Forest Heatrrop 61.06
Cross street/directions to job site: Langtree Duct work NMI 23.32 .
atomic hot water - stem Mili 23.32
Residential boiler (radiator or MIM
b drooic
Unit beaters (Ebel -type, not cleotric),
In.wat6 io -duct, suspended, etc. 46.75
Flue/vent for an of above 23.32
Subdivision,: Gage FOreet Lot no.: Other: 23.32
Tax ttmp/parcel no.: Other fuel a ■ .1latees
•
��.
'+t .:.: e� _ "" 23 33.39 IN
New single family residence Flue vent for water heater or gas
fireplace 23.32
Lo;1i: ter • : 21.32
Wood/ . De; stove 33.39
Wood $replaae/insert NMI 23.32
� Chinn /liner /flue/vent � ENI
s .,n a y s t s F �'' t 3.7i 1 r c am '+
rc! 74" - _a.. Y :_ ,:)a Other. 23 -
Name: Timberland Rouses, Inc. Envirenmeatal cabana and ventilation
•
Range hood/other kitchen - • Address: 12670 SW 68w Ave #300 _ • ui,rnent 1 33.39 3�
City /State/Z1P: Tigard, OR97223 Clothes • - exhaust i 33 -39 53 •3+
Single -duct exhaust (bathrooms,
Phone: (503)620 -8860 Fart: (503)598-9081 toilet corn.. 1 arms, utili rooms CI 23.32 l3-2a
:: E 7-e r. �,_ �'t . zht, . , Attidcrawls,ace fans 2332 _ .; ". Cam-_ Outer 23.32
Business name: Timberland Homer, Inc. Fuel .' , l ■
Contact name: Maureen Denny $14.15 for Brat roar $4.03 for each additive al
Furnace, etc_ (
Andreas: s: 12670 SW 68"' Ave *300 Gas beat .um.
City /State/ZIP: Tigard, OR 97223 Wali/suapeodedfwdt heater Mal
Fax: (5 03) 59 8 - 9081 Water heater
Phone: (503) 670 8860 Fir lace NI
E -mail: a naureeslQtiatberlaadbomes net MIE 1 • • l'�
, a i" ,a Barbecue En
Business name: Central Air, nc Other. - � _
Address: PO Boa 433 ki./ff Y �.: _r : - a ::::.. t ..s,
City/State/11F' Clackamas, 1 , ; 97015 Subtotal F
Minimum permit fee ($90 "00)
Phone: (503) 656 -1908 I Pas: (503) 650 -3898 Plan review (259'6 of .ertnit fee _
1 Statesurcharge(t2 %ofpermitfee) J "4 .
CCB lit. : 178624 ,
TOTAL PERMIT FEE .'P �
S � T hit permit apppplication apiece if a permit i a not obtained 155
Authorized signature: r da after it hsa beet arrepten es complete"
Print name: Andrea Scheidt ANEMIIMIN Date: w ise= • Fee metffo4oloiy et t0' T,•Comrry Buildiae Indust t Service 6o3--
•
12- R.8 -'09 13:25 FROM- T -592 P004/004 F -957
3 lila11.1 A CI 11111 1 A'44 &1U**
Building Fixtures , �$ . O a rc () L '`- �' -4.;,.;.....t.
Received
>,t 7 City of Rr�ei��a n /j
I i c F'd� ,. q `1 b Date/13y: a 9 .�....� P � �, 00 7 06 -
1 3125 SW Hail Blvd., Tigard, OR 97223 Platt Review
};,. Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No.iv� / l�a/3
p� � 4' Inspection Line: 503.639.4175 Date Ready/By: Juns: Jil See Page 2 for
eels w,
Internet: wwtigard- or.gov Notified/Method: Supplemental reformation
TYPE OF WORK FEE* SCHEDULE
El New construction ❑ Demolition Fors. eclat in , motion use checklist
Description Qty. Ea. Total
0 Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
E1 Accessory building ❑ Multi - family SFR (3) barb - �`L (-5i.13, 5L
111 Master builder Each additional bath/kitchen 45.00
❑ Other:
1 Fire sprinkler ( sq. ft.) Page 2
i JOB SITE INFORI L' TION AND LOCATION Site utilities
Jeb site address: 15722 SW 81" Ave Catch basin or area drain 16,60
City/State/ZIP: Tigard, OR 97224 Drywe11, leach line, or trench drain 16.60 1
Suite/bldg. /apt- no I Project name: Gage Forest
Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street /directions to job site: Hall to Langtree to 81st
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear tt.: ) Page 2 MIN
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Gage Forest , Lot no.: 6 Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map/parcel no.: Absorption valve 16.60
•
DESCRIPTION OF WORK Backflow preventer Page 2
New single family residence Backwater valve 16.60 - J
Clothes washer 16.60 {
Dishwasher 16.60
® PROPERTY OWNER ❑ TENANT Drinking fountain 16.60
Ejectors/sump 16.60
Tame: Timberland Homes, Inc. Expansion tank III 16.60 ill
Address: 12670 SW 68 Ave Fixture/sewer cap 16.60
City/State/ZI?: Tigard, OK 97223 Floor drain/floor sink/hub 16.60
Phone: (503)620 -8860 Fax: (503)598 -9081 Garbage disposal 16.60
® APPLICANT In CONTACT PERSON Hose bib 16.60 i
Ice maker 16.60
Business name: Timberland Homes, Inc. Interceptor /grease trap 16.60 Ell
Contact name: Maureen Denuy Medical gas (value: $ ) Page 2
Address: 12670 SW 68th Ave, Suite 300 Primer 16.60 IIIII
City/ State/ZIP: Tigard, OR 97223 Roof drain (commercial) . 16.60
Phone: (503) 620 -8860 I Fax: : (503) 598 -9081 Sink/basin/lavatory 16.60 -'
Tub /shower/shower pan 16.60 '
E -mail: maureeo@Timberlandhomes.net
Urinal i 16.60
CONTRACTOR Water closet 16.60
Business name: MEI Plumbing Water heater 16.60
Address: PO Box 207 Other:
City / State/ZIP: Banks, OR 97106 Subtotal Y60' : 3Z
Minimum permit fee: $72.50
Phone: (503) 324 -0759 Fax: (503) 324-0580 Residential backflow minimum permit fee: $36.25
CCB Lic.: 102535 Plumbing Lic. no.: 34 -276PB Plan review (25 %ofpermit fee)
State surcharge (12% of porruit fife) V) . 0 4
Authorized signature: ' - . 6 n'
i /� TOTAL PERMIT FEE 5r
Print name: Kris Malmedal Date L >L 1 I This permit application expires if a permit is not obtained within
t 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\ Building \Permiu\PLT1F•PennitApp.dm 12/27/06 440 4616T(10/021COM/WEB)
Walter H. Knapp & Associates
December 22, 2009
Gage Forest Trees: Lots 2,6,14,15,16,28
Lot # Species DBH Tag # Comments and Condition Recommended Action Builder
During site construction, a drainage swale filled
2 N/A N/A N/A with crushed rock was installed along the east J.T. Roth
property line. Based on the required depth of the
swale, it is unlikely that there are viable tree roots No action needed
beneath the swale. Thus it is unnecessary to install
6 N/A N/A N/A protection fencing to protect trees on the adjacent Timberland
property.
14 red alder 13 1870 Extensive dead bark on trunk. Tree in advanced Remove - J.T. Roth
decline; not sustainable condition/hazard
bigleaf 788 or Lean, old broken top, broken main branches - very Remove -
15 8 Timberland
maple 789 poor condition. condition/hazard
16 Scouler's 785 or Remove -
Extensive dead bark - hollow trunk
8 J.T. Roth
willow 787 condition/hazard
Site plan shows a deciduous tree, #1761, on this
lot, but there are no trees currently on or adjacent
to the lot. The original arborist believes that this
was either a dead tree included in the inventory
28 deciduous 9 1761 but not in the arborist report, or a multi -stem large No action needed Timberland
shrub or tree that was estimated by the surveyor
below breast height. This would not have been
considered a tree, and therefore not included in
the arborist report.
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.
', d , 1f � BUILDING DIVISION
l c A TRANSMITTAL LETTER
a ..�,
TO: Dan Nelson DATE
DEPT: BUILDING DIVISION R ,
JAN 12 2010
CITY OF TIGARD
FROM: Maureen Denny BUILDING DIVISION
COMPANY: Timberland Homes, Inc.
PHONE: 503- 620 -8860 B
RE: 15722 SW 81 Ave r151 o 09—oOAa
(Site Address) (Permit/Case Number)
Gage Forest #6
(Project 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.
x Other (explain): Truss details and floor joist layouts.
REMARKS: Thanks!
FOR OF ICE . SE ONLY
Routed to Permit Technician. Date: 0 Initials: •
Fees Due: n Yes 1 10 Fee Description: Amount II ue:
Special
Instructions:
Reprint Permit (per PE): n Yes ❑ No n Done
Applicant Notified: Date: Initials:
I:U3uilding\ Forms \TransmittalLetter- Revisions.doc 4/4/07
RECEI
SEC p 2009
��� CI IV OF TIGARD
v i
ILDIN DIVISION
\ j MARK STEWAR�
'1 �/ ✓ HOME DESIGN
� , . e � Ij�
A
CITY '1 F TIGARD - SITE P ►N REVIEW i ) ,11 5\ " /
BUILDING P RMIT N*.: IlLi BoA�� \ �y
PLANNING ► IVISION':
Required Se ■ ks: 0' =
Approv Q Not Approved
_
Side: > Street Side: �� � I I 0 i - P 122 N 0. OREGON 97209
Front. L ' 11Q iS I r
G age. _sLLG_ Rear: __ -
1� 1 (503) 885.8377 P
r ved
p_P� ❑Not Approved 1 3' i
V
I
isual Clearan e: A (503) 579.4132 F
Maximum Bui ding Height feet t www.markstew°rt.com
C WS Service • rovider Letter Required: ❑ Yes ❑ No 11) o 1 _ i� I L T - ' - - - �
0 c _ � �,, `�: LOT 6 '
:1, ►,L.�/� Date: //l V O l ..IJ a �� I 3,41 SF F1E 4 l r "x.inl I
B
I ` a °I ...�r 1
DEPARTMENT: r-_ ,N , a -
Actual SI pe : °fo Approved ❑ Not Approved Q 1 ° I i � — • = I lgr_me
1
ENGINEERIN DE
Site PI � 5 Approved ❑ t . roved I i a Y i
"By: i Date: / 9 I � ......! ... o� �i — 70 � i
Notes: ► /\
I
1 • . I
I
. _
1•
• _
0
1 1 I6 I
Stock Home Plans
Custom Design
Builder Marketing
Interior Design
Since 1982
' � CITY Q TIGARD - SATE PLAN-REVIEW
" • ° ® �•�
Stevat & Awodotw k14 2003
DVILDIJNG PER JT_NO:
Important Disclosure
Please Read:
Street Trees: Approved ❑ Not Approved
n : •AA AA.: Trees: 17 proved T Not Approved +� . N «� ^ ony It Inn
BY: Date: . D'b"
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Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
I, Steven A Brown , am the general contractor or the owner- builder
at the following address:
Site Address: 15722 SW 81 Ave
City: Tigard
Permit #: MST2009 -00224
Subdivision/Lot #: Gage Forest #6
and /or
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 s ry weight of • • ing members.
4_ •
Signature: _ vin t-VIckt Date: 6/7/10
Ge 46Contract o • wner -Bui der
v4c_S
I:\Building\Form'RES- MoistureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: MST2009 -00224 Jurisdiction: Tigard
Site Address: 15722 SW 81st
Subdivision/Lot #: Gage Forest #6
and/or
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 Reside ':1 Specialty 'ode ► 1107.2)
_ I �;
Signature: 1t 191 J Date: 6/7/10
41laty,. Genera Con : or /Authorized Agent
Print Name: Steven A Brown
' 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.
1:\ Building\ Forms \RES- 1 07/01/08
STREET TREE CERTIFICATION
I, 51V YrEvc fs R , Owner /Agent for ///7 - /mod 94 2,S
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby certify that the following location meets
City of Tigard land use and'development standards
for street tree installation.
ADDRESS: / 7 2 - Zs ,_51_,, ,e, /cam �I, 5�2cro -�
SUBDIVISION: 002-74
SU SION: �. -�' LOT: (
SIGNATURE: DATE: 'ZOO
01P T ' R/AGENT)
RECEIVED BY: DATE:
(coy OF TIGARD)
I: \Building \Forms \StreetTreeCertificate 01/19/07