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Permit CITY OF TIGARD MASTER PERMIT a COMMUNITY DEVELOPMENT Permit #: MST2009 -00233 T CARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/11/2010 1 Parcel: 2S109DD09400 Jurisdiction: Tigard Site address: 15576 SW RAPHAEL LN Subdivision: BELLA VISTA Lot: 24 Project: Bella Vista Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1044 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 21 Bathrooms: 3 Second: 1036 sf Garage: 455 sf Front: 0 Smoke Dwelling Units: 1 Third: 0 sf Right: 0 Detectors: Yes Total: sf Value: $231,663.35 Rear: 0 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 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 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: 4 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 1300 DEXTER AVE NORTH #500 17933 NW EVERGREEN PKWY 370 SEATTLE, WA 98109 Beaverton, OR 97006 PHONE: PHONE: 503- 645 -0986 FAX: 503- 690 -2942 Total Fees: $15,846.34 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 wit expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 thro h R 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. e- Issued By: ).--V \ 4' Permittee Signature: E ii...!e( i��G�� /V,L z__,/-10 Building Permit Application Residential RECEIVE ' � n tA• J„� 't ,,. F s . i. iW , c - a ,.,� ;;", FOR OHHi1 °USF.OhI 1 ,� ,� �a� A -- MIT " Received /'y� � C ity of Tigard ��� "� zip, Date'Bv. , Prnnit No.. %T 6 � • W�� r ° 13125 SW Hall Blvd.. Tigard. OR 97223 Ian Rcvie,v Phone: 503.639.4171 Fax: 503.598.1960 ri of TiG ate B\'. 41 AR ( Mier Klink: Inspection Line: 503.639.4175 Cl l b 1 S1 Rcadv'B■� Ions: ® tiee Pays 2 for IG tCi' A'' IJ " ®� utlSrAdtirtrlNiT� Intcrct: www.tigard- or.gov BUll,D1NGD1\11 Notified Method: \S• \` 1O [C, Supplemental Information ' TYPE OF WORK AND DATA: I- ND 2- FAMILY DWELLING • • New construction Permit fees* are based on the value of the +cork performed. ❑ Demolition p Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration /replacement ❑ Other: equipment, materials. labor. overhead, and the profit for the CA CATEGORY OF CONSTRUCTION. work indicated on this application. /I- and 2- family dwelling ❑ Comm ercial/industrial Valuation 1 ❑ Accessory building ❑ Multi- family Number of bedrooms: !� Master builder Number of bathrooms: / n ❑ ❑ Other: of JOB SIT E INFORMATION 'AND - LOCATION Total number of floors: Job site address: / 55 9& 5,„e) ,e49 C. 2d. New dwelling area: e ef,■6) square feet City /State /ZIP: 776 D,e 9'2021/ Garage /carport area: is-s- square feet Suite!bldg. /apt. no.: Project name: ggie4 leis 774 Covered porch area: g30 square feet Cross street /directions to job site: L.7a1E�f lt 446 leCo Deck area: square feet Other structure area: -2 7 square feet Z( .REQUIRED DATA:.COMMERCI.4L -USE CHECKLIST Subdivision: egL 4 -14 V/s Lot no.: 2/ 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: / ,2/ t/ e S /Qe /freen /die_ . Type of construction: Address: / :� 3 A, /) w A 3 '. Occupancy groups: k / # City /State /ZIP: // 7z/we, 1/ l''t2�/ � Existing: Phone: (S03 ,, �C '"7 , 3 . d� 09E36 Fax: (623 Co,/6 21112_ New: APPLICANT ' . _ ❑ CONTACT PERSON, .. NOTICE yr /45 Business name: /� a A. All contractors and subcontractors are required to be Contact name: 73/1.-c- �it/,q ��.0 licensed with the Oregon Construction Contractors Board /7 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: : ( ) 0 10/0 E-mail. -j /J. e/Lai )\IT f ^ / veils, eb° 61, . 60/14. � /� CO CTOR l t O ' tC'G Business name: 1 t S A A r r BUILDING PERMIT.FEES "" Address: - ' (P leaserefertoJeescheduI ) City /State /ZIP: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lic.: \�c 48 Total fees due upon application: ! i',1,2,... Am received: Authorized signature: �_ l e This permit application expires res if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,GiGL pti//,9, OA/6c, Date: /2 9 * Fee methodology set by Tri- County Building Industry Service Board. 1:A Building vPennitsyBUP -RES PennitApp.doc 10 %01/09 440- 4613T( 1 I /112 /COM!WEB1 Electrical Permit Application RECE t r� .:%-:._: 1. R ' 1 . 1 :6 !Z F .4E U SF a b ":,';,-,!'4,,.'&,'-!' Y u , ( , 0. i 1 Received 1. 4 :�; City of Tigard Kermit No.: TZ q - - • Date 13 13125 SW Hall Blvd.. Tigard. OR 97223 20 0 ( 3 Plan Rr.ic,r g _,' Phone: 5(13.639.4171 Fax: 503.59 19611 DEC Date 13y: (Whet Permit: deldPif h Inspection Line: 503.639.4175 Dale Readv•13y: .l is: 63 See Page 2 for eililR3r , Internet: www.tigard or.gov (,►11 GFTIGNO Notified Method: .--- l C Supplemental Information .. TYPE OF WapttILDING UIVISION PLAN REVIEW . Id New construction 1=1 Ad ditionia1teration /replacement Please check all that appl. (submit 2 sets of plans t,' checked below): T ❑ Service or finder 401) :imps or inure ❑ Building os ei Three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyard:. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at I50 volts „ 1 ❑ floating buildings. ' leis to ground. t11 exceeds 14.000 ❑ ('nnuuereial -use agricultural p rI - and 2- fancil■ dwelling ❑ Commercial/industrial ❑ Accessory building amp: tilt all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Il<Iauation 01'75 KVA or JOB SITE INFORMATION :AND ,LOCATION 0 Addition of rncp system larger separately derived system. . f Job site address: / ^ - ❑ Additio ne. +' motor load of ❑ � : \�� "I." . - I 2 .. l 3 Job no.: 1 5 "/ e Innl3P or inure. occupane∎. 5 �� ❑ Six ur more residential units. ❑ Reercanonal vehicle parks. C if Sta!e!Z1 P: / / 6 n 11022 i tie �22 ❑ Iicalth -care tacil locations. ❑ Su1 ltage 1' more than /! / ®' ` ? 000 cult. nominal. ' / - w ❑ hazardous lurati Suite /bldg./apt. no.: I Project name: zz,1 1 /' C' �--4 ❑ Service ur feeder 600 amps or more. 6.6-/c- 443/t-40. YYY/ {� - - - FEE SCHEDULE " " Cross street/directions t0 lot) site: Q 72-0. Description I Qt.. I Fee. 1 iotnl 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 6644,0 j'57 Lot no.: L� J 1.000 sq. 1i" or less 16.54 0, 4 / Fa" add"! 500 sq. ti. or portion 338.92 t L�'cet 1 Tax map /parcel no" Limited energy. residential ''' DESCRIPTION OF WORK 67.714 2 (with above sq. li.) 67 Limited energy. multi - family 67.84 residential ( with above sq. ti. ) 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 Nance: ,e// 57,0e /76A-65 . /s /G 401 amps to 60(1 amps 200.34 ��f 601 amps to 1,000 amps 301.04 2 Address: /7133 A/0.) EVt lei � 4 2 ' 7 '3b Over 1.000 amps or volts 552.26 2 City /State /ZIP: eb; 77/� o^ X7/.)0 & Temporar services or feeders installation, alteration, and /or ,/2__ relocation Phone: (SD 3 �1S D .2,6� I Fax: 603) 39� �9 _ amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended tier sale. lease, rent, `r exchange according to ORS 447. 449. 670, and 701. 401 amps to 599 amps 168.54 2 Z / Branch circuits - mess', alteration, or extension, per panel Owner signature: Date: A. Fee fin' branch circuits with X APPLICANT' I ❑CONTACT PERSON above service or feeder fee. ^ t each branch circuit 7.42 2 Bu name: icS AA B. Fee for branch circuits u'ithoul service or feeder fee. 56.18 2 Contact name: /L G /A /r4l�oti/f� first branch circuit Address: Each add"I branch circui 7.4 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 67.84 dwelling. service and /or feeder Phone: ( ) Fax:: ( ) Reconnect only 67.84 2 E -mail: u / t Yerslegeho at,e , e ✓tit Pump or irrigation circle 67.84 2 ONTRACTOR • ,- Sign or outline lighting 67.84 2 / S ignal circuit( s) or limited - Business ram(: ` l 1 + 7 ri energy panel. alteration. or Address: fw extension. Describe: Page 2 2 t S t/) rl sI City /State /ZIP: 1' 0 . Z� Each additional inspection over allowable in any of the above Per inspection 66.25 Phone. (563) 5 '' Fax: ( ) �� 7� 8 Investigation per hour (1 hr min) 66.25 CCB Lic.: /53 y / / 1 Electrical Lic.:y -6/6C Suprv. Lic.: y6�� Industrial plant per hour 78 "18 1� , . _, :ELECTRICAL •PERMIT. FEES . ' ' Suprv. Electrician signature, required: - Subtotal: 6 Print name: �'C F3-10-C" 10 Date: Plan review (25% of permit fee): State surcharge (12% of penult fee): 44 , l; 7, Authorized signature: TOTAL PERMIT FEE: + 1 6,7 I S - Phis permit application expires if a permit is not obtained within 180 Print name: ��' �f � Date: days after it has been accepted as complete. Number of inspections allowed per permit. 1: Building 1'rrinits 1-1 ('- PcrmitApp.doc 111111 00 440-4615101 05 (ycxf ((10) Plumbing Permit Application �1 Building FixturesECEN FOR OFFICE USE ONLY Rccci, cd � City of Tigard C nn No.,rn >120q .0 3 1 114 � CC' Darc i • 13125 SW Hall Blvd.. Tigard. OR 97223 `' Plan Res less _ Phony: 5113.639.4171 Fax: 503 598.19611 TIGAd Date 13■: Other Permit No.: Inspection Line: 51)3.639.4175 CIl► .�.�/ OF Date Read, I3,. u ns El See Page 2 for TIGARD Internet: +v+v+v.ti'ard- or.u VISIOy ! i- a UiLI�t N GD I Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE Nee) construction ❑ Detttoli For special ittfortuation use checklist. Description Qty. i Ea. Total ❑ Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 0. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 312.70 71 -and 2- family de,elling ❑ Commercial /industrial SFR bath 437.78 SFR (3) bath 50(1.32 X,?jA ❑ Accessory building ❑ Multi- family Each additional bath kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. 0.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / S. 574 .� AD/9. � G LZ(,/, Catch basin or area drain 18.76 �� Drywell, leach line. or trench drain 18.76 CityiState /ZIP: //6 D ae 1 Z2 y / Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt. no.: 1 Project name: Q ' 2.4A 0S 77"? Manufactured home utilities 50.03 Cross street /directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear 0.: 1 Page 2 Stone sewer (no. linear 0.: _) Page 2 Water service (no. linear ft.: _1 Page 2 Subdivision: feeel-A V/ S I Lot no.: .2.1 Fixture or item: Tax map /parcel no.: Backtlow prcventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking 12tntain 25.02 Ejectors /sump 25.02 Y PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name. /e/ t/C�SID: bi� 5 hue_. Fixture /sewer cap 25.02 Floor drain/floor sink 'hub 25.02 Address: // 3 /Wei eie•e -E,--( eeiv 37 '7 Garbage disposal 25.02 City /Stale /ZIP: StA Vie 72 4 4 / Di< °-- el: � , Hose bib 2 5.02 Phone: 15.031 4/5 Q�� 6 Fax: x56 Co /Q .2 9 /z Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: J Alk v Medical gas (value: 5 1 Page 2 �e4GQ/ _ rioter 12.51 Contact name: /0L Roof drain (commercial) 12.51 Address: Sinkfbasin /lavatory 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( 1 Tub/shower/shower pan 12.51 E-mail: O ^ Urinal 25.02 Water closet 25.02 RACTOR Water heater 37.52 Business name: /./ -fJ /tit 1 M J Ze-- 6" Water piping'DW V 56.29 Address: J --7 S -7 Jf 14/ / /4,1, L Other: 25.02 City /State /ZIP: /Y 9 7267 Subtotal 37- Phone: 1Soy 1 q -2.1-. e 7 F Fax: (sor) 6`----7.,2_, 7 of Minimum permit fee: S72.50 Plan review (25% of permit fee ) CCB Lic.: / 7 <j / Z Z Plumbing Lic. no.: T/5 41/,1 / State surcharge (12% of permit ore) 60,6A Authorized signature. //_ TOTAL PERMIT FEE r � j � f Date: This permit application expires if a permit is not obtained within 180 dais Print name: v r�j l , /0 f G Z ° after it has been accepted as complete. U *Fee methodology set h.'1ri- County Building Indust■ Service Guard. 1' Building Torpor PI.N1t'- t'crmnApp.doc t0 01 09 440-4(1011002 cuAl 50011) , 12/10/2009 16:40 5036503898 CENTRAL AIR INC PAGE 02/02 From: 12/09/2009 09.25 #443 P.002/002 RECEIVE - i.:a. Mechanical Permit Application s t,,,„ , ,,.� m ,f .i ,'",I Oft l) l 11 P l'l�a . , r ' � � j City of Tigard DEC 17 2009 Rc «i, al Tigard MIN Ili': Penn il V� Kcci2c X04 • 'z 3 i , 13125 S�' Hall Bhd . Tigold. 0R I)722t i'Iun R„ - - I t( ' Li/ 4 t� t Phone: 3 01..1 4 4171 Fnx: S Ch'Y OF TIGARD Date Ity ._. tNl e' Pennil: - .17, ,i1777 In spt t i l o (1 n lin S U 3 A39 a 1 !Lie Kesd> Ilp: )arks: . P3 Sec Pate , for . r~: Interne, w,. n'.tigarJ- nr.cn, BUILDING DIVISION N,,,;n. i, ,t , d Sooplcmental Information r^ !�T vr•r, �EVr'+ � `� � rr*o ?��� SttF t w. - .,7. , Y'Jµ``"�5'FF � .0 ]t t!' ti� ( 1 „ kJ +i Y '•� -�-:w � i �+' `t x3 i;~*.''�' 2 IEE , :MW, ' ut` �'.. i c- o,' r ' I� g, n rld y ptYi;1>'yS �a�iB``.�1�' ,i:. i �.,$'a� _ -�" .`re+n!�;�,�rn6 -. a ... ae'u�....a.ri�l✓c J �d:Y�..�u:..,,_•�1t1 Mechm permit feee• alp based , +n the value e1 rib: work �I Ness construction ❑ Adtlitinmaliarationireplacemem psafonncd hutic:ne the tulue lmundld to the nearest dollar) nl " oil ❑ Demolition ❑ Other: mechanical materials, equipment. Tabor. ovctheaJ. and profit. ry ` ♦. ^ •! 7 ,,u lT'e kR: „ G3 'IC Oe:', tK r .- 0' \tutus 5 �\ X h a:,. 1',Y i ,3ei , , ' C it r'�y t , qin' t,, t =4u T hr '-'+'�' s .�' c ,ci . i /i 1 and ?- family dwelling ❑ Ct1n1111eflidl'IntJuscilal [] Alcessor�' hulld;i,F + � ' � 1 ;:::MLa) • ,,vie ), xl 'iilg V. :q ae <. hp. ,prt rut hofornttuion my rhe( klist. ❑ Multi -Family ❑ MaFtc builder ❑ Other: I p e.ctiption Qt) D. Yotai ey.., M ,} r ., S >J T : 1`i f' 11t'r+ * r? -�� v I r J.iV 31, ' ,f: J) 3, (1 , ( t f n c.. o �.} y ;WiSai . M tat i II Ii IIR •xi` vr..:+E� t{�rna1.�1�,rtR�l.Sc�t..,�. , A,tr.r.:�sns.a��a�...iW..1ni..� �..�i ,_. ( H _ / SS �� �� � G . . Air conditioning 11111111 - Job site address. .7 li L re�ui Nil , : K � lan.bm n>vnn +inv Iatc City /State/ZIP: � dP� 2 22 ' Furnace 1Gp.000 BTU (duets , emm) 46.73 s ! " / - Fmnnce 1(li1,U(Jn + BTU! (cum:, vow) 34.91 ( Suilz;hldg.!apl. n0.; i Project name: V/ Neat pump oLPe Cross street /directions to job sift: Duct work 23.32 Nydromic hsn water system 23.32 _ Residential boiler (ra in - i hydronic) 23.32 { Unit heater, l fuel -type. not clech•i n. in -well. In -duct. suspended, etc. 46.75 Flue'vent 1 'nr any of uhuve 23.32 Subdivision, - ,q Ps Lot nn.: e9 ! � � Other: Tat msWpar el n0.: Other fnel appliances /�/y t / , /y; r ,,,,, f X.J y � V yti .lit' V'r K ro ) Y i r i T V/tlk F ,1y y - {j fi b.. Water Heater 23.32 2 V .l rw � CYi,w. .. " ��1L ~ t wr2' i,"..4.°�r1t „;N +�^�1,�+Z' .....,,.v. }w ; .:r .Uri: Gas tirepbee 33.39 Flue vent Ibr water hater of gas fireplace 23.32 Log lighter (goal 23.32 WO d'pellet stove 33.39 Wood Iireplace.linsln 23.32 w - F47 r cr373 * r.: t c Cam" r 7: _ 3 ChimneyMnernhevvent _ 23.32 I� (`.ti ,.tiT: F JJ!' - 1, f ,y d l Itt ` t , l ,fi i , r t }d t , . •J C,.y, .+..,� , �z.,.� . r; �a.:n�.P.,ir.l�+c � - ..�- -� ..k:....•_(�ri - 2 = �iew.mv,i � other I 23.32 Name: -'../ St , -) ../246.5 „tic . Environmental exhaust and vcntllaflon /7 /Vie) ' 1,L�y ��7t� Rangehood.t(+tho kitchen Address' 1 / 133 Evt<R�` ,4 z / 3 a1 equipment ( 33.39 _ `nv�� 0R �7 6 clothes / 33.39 •4•; ' City/Stare/ZIP: $tarelZlP: z � t QQ _ / Single -duct exhaust (bathrooms. / • Phone: i - . 4 9S Q %i Fax. i 4) 90 29 Z. toile' compartments, utility moms) 23.32 ( "'o 7 ' z `rL ` Y ( 4 r� zq c �ti- j'-' e-A tr' t ,, - ter S c 4 r 1 ST ", A ttic;crau'J s acre fans 2 i2 ``. ;` s. I ry Z r \ P1 r i r, 16• t ry c 1 "Ace P 3 C . .:••., rr:: .. .. -o::, _ < ,,c . L..tt;at t, M34e - d. ._ ,.J;. Fuel Business name: Fuel pining 23.32 � Contact name; iLL � Other: A - � - �E1Q St 4.15 for fiat four: S4,O:4 for each additional Furnace. etc. ( <4r1 Address: - Gas heal pump -- city /State✓ZiP: I we1ater 1'ti]rpended4mit heater A W healer Phone: l I Fax:: ( 1 - di- ---- Fireplace 1 -- E -mail: ` Range 1---- ,. .r +T G" r F4 ,, t C'� Y C M3 n.- -: i_ • j 1 t a t S¢a�� e7r �I n + T, ��L f;arl:xti Ue Business name: (; epq�(„. • F G . Clothes dl)'talons) - Other: Address: " ` .�.:., ' ) 1 " l i ' 'r ti : t r" iy't {': City /Stete'ZiP: CCACkA • 5 *IL /1013" Subtotal I1 ,53 1 456 - Igoc8 G'Jrp -z9`t� M 6rintum pmnit lee (590.p11) Phone: ( Fax: ( �� l �� Pl an review (239:, ap:non tee) CCB lie.: (4 State sunhar e (12% of pctm t feel � l i "'"` TOTAL PERMIT FEE Tills permit Application espies.* If a permit k not obtained olthin Ito Authorized Signature. _ doss ater It has h°en accepted As complete. Print name: Ar l I Date: 1sabb/Vr 4 ` )7e to thadukv. so by fri-C,nuu) Hoit1ine Indu,.Ir Seri ice B,ara L f P'put, wir.r ,, I AIAl.d,a 1n nt or 4 4n-M1 71111 IC t•rnt e∎ rti6 i ?cQ ` 7 I OC Z-3 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: N.ST z ooc -00z_ 3 3 Juri 1-' (3, id Site Address: 55 `11 S W P-cil cte L ah e) Subdivision/Lot #: Sotat LO - 1 - 2 4 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 Residential Specialty Code N1107.2) Si ► vas vy e LA—L- Date: ) • Owner /General Contrac o /Authorized Agent Print Name: '_e. Se-t t ORSC Section N.1107.2. 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. L\Building\Forms\RES- HighEfficiencyLighting.doc 07/01/08 I Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, R V e4 .S i ci e t-10 m. es L L C.:. , am the general contractor or the owner- builder ) at the following address: Site Address: 1.5511a 5 R a p hQQ,1 L.a hem City: - Rs ar t Permit #: MST 2 009 ,-- O ©2.- Subdivision/Lot #: 1+ • 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 dry weight of dry framing members. Signature: . � / / Date: 3-17-2 00 General Contractor • Owner- Builde I: \Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 • .. . • c c, N STREET TREE CERTIFICATION cz o n� � A A i ', l b , ,q, L IS 7 a , r AEE I, (-CLZc t t , -,--,J---':-.' wner / Aggent, for 4 ` h� a p I V E RS (.D E (-! o ►�n c S LL_c (PLEASE RINT) ' r ' 4,) (PERMIT HOLDER) rcertfy that Do hereby at the following t cation meets { City of Tigard l�and use and ddev standards 'fo � , A „,01,171F.31;21,.•., '” .:,,,.t.,1:747...-": ,a:�a ,iii m,-i4 I".7 y ° a - -n-z - 4 y 4 �f i it _' ,., p„ A.: :,-74;43.-4,f,..::, k a ,01,44:4, ,.. e :4 s $ , U ADDRESS: 55 16p 3W R ap is e 1 Loveve_, N(51 2f309- bn Z 33 SUBDIVISION: �c 6 0 Lot 2-4' LOT: a4 SIGNATURE: Oz DATE: 4/21//0 (0/ ER /AGENT') RECEIVED BY: DATE: (CITY OF TIGARD) I:\ Building \Forms \StreetTreeCertificate 01/19/07